STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
END OF WELFARE-TO-WORK 24-MONTH TIME CLOCK REVIEW
APPOINTMENT LETTER
NAME______________________________________
DATE ___________________________
CASE NUMBER ______________________________
You are scheduled for an appointment on __________________ at ________________
(date)
(time)
at _________________________________________________________________________________.
(address)
The purpose of this appointment is to review your
24-Month Time Clock and to adjust your Welfare-to-Work
Welfare-to-Work
plan to include activities that meet CalWORKs federal standards. This is a requirement you must meet after you have
used all of your Welfare-to-Work 24-Month Time Clock.
This appointment is very important.
If you cannot attend this appointment, please call your Welfare-to-Work worker, __________________________________,
at (______)_____________ to schedule your appointment for another date. If your worker is not available, please leave a
message before the appointment date and he or she will return your call.
IMPORTANT REMINDERS
•
Cash aid may be lowered if this appointment is not kept.
•
If you do not keep the scheduled appointment, it is your responsibility to reschedule it before the appointment date
provided in this letter.
•
To change your appointment, please contact your Welfare-to-Work worker.
•
You may be eligible for a Welfare-to-Work extension; an extension request form is included.
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