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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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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
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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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