Appendix V: CalWORKs Applicant Eligibility Questionaire

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  • Do you have your child(ren) living with you? (Check about joint custody.)
  • Parental questions:
  • Is either parent absent, deceased or disabled (is there parental deprivation)?
  • Are both parents in the household?
  • Does one of the parents have a mental or physical disability?
  • Is one of the parents unemployed?
  • Does one of the parents work over 100 hours per month? (If yes, the family may be ineligible.)
  • Does your family have any income?
  • Does the family have personal/real property valued at over $2,000?
  • Does the family own a car with a fair market value over $4,650?
  • Are you a U.S. citizen or permanent resident? If an immigrant, when did you enter the U.S.? Do you have a sponsor?
  • Do you have birth certificates and Social Security cards for all household members?
  • Do you know the name, address and/or Social Security number of the absent parent?
  • Does your family have less than $100, have no money for food, and are you behind in rent, etc.? (If yes, "Immediate Need" may be available.)
  • Is your family homeless? (If so, look into temporary and permanent homeless assistance payments.)

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