Get I-0110.pdf

Filling out the I-0110.pdf, also known as the CAPI Sponsor’s Statement of Facts form, is essential for applicants and recipients of the Cash Assistance Program for Immigrants to document income and resource details. This guide provides straightforward steps to help users complete the form online efficiently and accurately.

Follow the steps to fill out the I-0110.pdf online.

1. Click ‘Get Form’ button to obtain the I-0110.pdf and open it in your editor.
2. Carefully review the form's instructions at the top. This section will clarify the information needed from the sponsor and the sponsor's spouse, if applicable.
3. Enter the case name and case number as required in the designated fields.
4. Provide the CAPI applicant/recipient’s name and address on the form.
5. Complete the personal details like the date of birth, social security number (voluntary), telephone number, and home address for the sponsor.
6. Answer the questions regarding assistance received, including details of any aid from programs like CalWORKs, Food Stamps, or Supplemental Security Income, if applicable.
7. If there is a spouse living with the sponsor, include their information and indicate any assistance they receive.
8. Respond to employment questions for both the sponsor and spouse, detailing employer names, gross pay, and frequency of payment.
9. Record any other income and resources the sponsor or spouse may have, providing explanations and documentation if required.
10. Review the important information for sponsors section, ensuring that all obligations and penalties are understood.
11. Sign and date the certification section at the bottom of the form, including a witness signature if needed.
12. Once all fields are completed, save your changes, and download or print the form for submission.

Complete the I-0110.pdf online to ensure a proper submission for the Cash Assistance Program for Immigrants.