
UNTY USE ONLY 1. CASE NAME 2. AU SIZE 11. YOU ARE REQUIRED TO REPORT TO THE SERVICE PROVIDER BEFORE YOU CAN BE ELIGIBLE FOR CASH ASSISTANCE. 3. AID CODE/CASE NUMBER a. b. 4. REGISTRANT S NAME 5. SOCIAL SECURITY NUMBER 6. ALIEN NUMBER A7. DATE OF ENTRY AS A REFUGEE, OR DATE GRANTED ASYLUM, OR DATE OF CERTIFICATION AS A TRAFFICKING VICTIM PLEASE TAKE THIS FORM TO THE FOLLOWING SERVICE PROVIDER AND RETURN TO YOUR WORKER WITH DATED ORIGINAL ON OR BEFORE . YOUR A.
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How to fill out the CA RS 3 online
Filling out the CA RS 3 form online is an essential step for individuals referred to service providers under the CalWORKs program. This guide provides a clear and supportive walkthrough of each section of the form to ensure accuracy and compliance.
Follow the steps to successfully complete the CA RS 3 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the case name in the designated field. Input the last name, first name, and middle initial of the refugee.
- In the AU size field, specify the number of persons in the assistance unit.
- Input the two-digit aid code and the case number assigned to the refugee by the county welfare department.
- Provide the registrant’s name for the person being referred. Ensure this is the name of the individual required to register.
- Enter the registrant’s social security number in the appropriate section.
- Fill in the alien number of the registrant. Make sure to input this accurately as documented.
- Enter the date of entry into the U.S. or the date granted asylum, as indicated on the registrant's documentation.
- Specify if this is an intracounty or intercounty transfer by entering the county or district and the service provider's name.
- Indicate the primary language designated on SAWS 1.
- Fill in the date of referral, noting when the registrant is being referred to the service provider.
- Complete the service provider's address, including the full street address, city, and zip code.
- Use the comments section for any additional relevant information or notes.
- Have the assigned worker sign and date the form and include their worker number.
- Ensure the service provider authorized signature is included, confirming that the registrant has reported for registration.
- Obtain the service provider's embossing stamp for official certification.
- Check the box to indicate the reason for notification to the county welfare department and provide any necessary details.
- Complete the comments section as needed.
- Ensure the final authorized signature from the service provider is signed and dated.
- Once the form is completely filled out, save changes, download, print, or share the completed form as needed.
Complete your CA RS 3 form online today to ensure your eligibility for cash assistance.
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How old is Lightning McQueen in Cars 3?
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