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Not use this block unless there are to be changes in the case record. CLAIMANT PARTICIPANTS AND TITLES CASE NAME (IF APPLICABLE) CLAIMANT ADDRESS (IF DIFFERENT THAN DPA 26) AUTHORIZED REPRESENTATIVE AUTHORIZED REPRESENTATIVE COUNTY FIRM INTERPRETER ADDRESS (IF NOT ON DPA 26) OTHERS PRESENT FILING DATE AIDS ADD DELETE EDD INVOLVED DISPOSITION OF CASE REMARKS 1 2 3 4 5 6 7 No. DPA 99 (7/99) CLAIMANT EXHIBITS No. Heard Left open.

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How to fill out the STATE HEARING DATA - California Department Of Social Services online

Filling out the State Hearing Data form is an essential step in ensuring that your case is accurately represented in hearings conducted by the California Department of Social Services. This guide will provide you with user-friendly steps to complete the form seamlessly online.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your case number in the appropriate field to identify your specific case.
  3. Indicate any changes to the case record, if applicable, by checking the relevant box.
  4. Record the date and time of the hearing to ensure accurate scheduling.
  5. Specify the number of tapes relevant to the hearing, if any.
  6. Fill in claimant details, including name, address (if different from DPA 26), and the name of any authorized representative.
  7. List all participants and their titles as needed. Include other present persons as well.
  8. Enter the filing date to track when the application was submitted.
  9. Provide any relevant aids, and check off whether you wish to add or delete any information.
  10. Outline any EDD involvement and input the disposition of the case based on the outcomes described in your hearing.
  11. Lastly, fill in any remarks that may clarify your case, such as reasons tied to postponements or withdrawals.
  12. Upon completion, make sure to save the changes, and consider downloading, printing, or sharing the final document as needed.

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A Fair Hearing is when a household provides written or verbal appeal if they disagree with the county's decision on their CalFresh case.

The mission of the State Hearings Division is to resolve disputes of applicants and recipients of public social services in an impartial, independent, fair, and timely manner, ensuring that due process is met in ance with federal and state law.

You can find social work agencies near you by contacting government agencies, non-profit organizations, or looking for private residential care services. Many independent social workers also offer counseling and mental health therapy services.

The social worker will talk to you, your children, and others living in your home. The social worker will also contact people who know you and your children—such as doctors, teachers, baby sitters, relatives, and neighbors. You can ask the social worker to speak to certain people who have information about your child.

Call 9-1-1 whenever life is threatened or when criminal activity is involved. Child Abuse. Child Protection Services (800) 540-4000. Domestic Violence. Law Enforcement 9-1-1. Dependent Adult Abuse & Elder Abuse. Adult Protection Services (877) 477-3646. Elder Abuse in a Long Term Care Facility.

Reaching Out to Government Social Services You can visit your local DSD office or call their national helpline: Phone: 012 312 7727.

If you are not satisfied with the County's action or inaction on your case, you or your Authorized Representative can request a State Hearing as follows: Online at acms.dss.ca.gov. ... Call toll free (800) 743-8525 (or TDD (800) 952-8349) OR. Fax fill out this page/fax to (833) 281-0905 OR.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232