Form Wtw 43 - Notice Of Your Welfare-To-Work (Wtw) 24-Month Time Clock Ending Soon
Download a blank fillable Form Wtw 43 - Notice Of Your Welfare-To-Work (Wtw) 24-Month Time Clock Ending Soon in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Wtw 43 - Notice Of Your Welfare-To-Work (Wtw) 24-Month Time Clock Ending Soon with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2STATE OF CALIFORNIA − HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
NOTICE OF YOUR WELFARE-TO-WORK (WTW)
DATE
24-MONTH TIME CLOCK ENDING SOON
COUNTY
CASE NAME
CASE NO.
OTHER ID NO.
WORKER NAME
WORKER PHONE NO.
(
)
Questions? Ask your worker.
THIS NOTICE GIVES YOU INFORMATION ABOUT YOUR WTW 24-MONTH TIME CLOCK.
As of ______________, the County has determined that you, ______________________________________________,
(DATE)
(NAME OF PARTICIPANT)
have a total of __________________months remaining of your WTW 24-Month Time Clock. Once you have used all 24
(NUMBER OF MONTHS)
months of your WTW 24-Month Time Clock, you will have to meet different requirements to continue receiving aid and
services unless you are exempt from WTW or qualify for an extension to the WTW 24-Month Time Clock.
Beginning with your 25
th
month, you must meet CalWORKs federal standards. Under these requirements, you will have to
participate for the same total number of hours per week, and you will need to meet a core hourly requirement. The chart
below shows the hourly participation requirements to meet CalWORKs federal standards, including the total number of
weekly participation hours and the number of weekly hours in core activities.
Total # of Participation
Required # of Hours in
Number of Adults in the Family
Hours Required Per Week
Core Activities Per Week
(Assistance Unit)
Single-adult with a child under 6 years old
20
20
Single-adult with no children under 6 years old
30
20
Two-parent families
35
30
The core activities that you may participate in include education, employment, work experience, job search, and
community service. Some activities have a limit on how long they can count as a core activity, including job search and
job readiness related activities. Vocational education and training may only be counted as a core activity if you have not
already used your 12-month lifetime limit.
After using all of your WTW 24-Month Time Clock, if you do not meet the required hours of participation with an allowable
core activity, your cash aid will be lowered by removing your portion of the grant.
CONTACT YOUR WORKER RIGHT AWAY IF YOU:
• Need more information about the CalWORKs federal standards participation requirements that you must meet
once you have used all of your WTW 24-Month Time Clock months.
• Want to change your WTW plan now to meet CalWORKs federal standards. This will save the remaining months
on your WTW 24-Month Time Clock.
• Need more information about the months that you used.
• Think you should not have months counted toward the WTW 24-Month Time Clock.
• Think you should be exempt from participation in WTW and have not requested the exemption, or need more
information about exemptions from participation in WTW. You can also send your worker the enclosed exemption
request form that you have signed and dated.
• Need more information about how to ask for an extension to your WTW 24-Month Time Clock.
CONTACT YOUR WORKER IF YOU THINK THIS NOTICE IS WRONG. YOU MAY ALSO ASK FOR A STATE HEARING.
“YOUR HEARING RIGHTS” FORM ON THE BACK SIDE OF THIS PAGE TELLS YOU HOW TO ASK FOR A STATE
HEARING.
WTW 43 (9/14) REQUIRED FORM - NO SUBSTITUTE PERMITTED
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal