State of California
Department of Social Services
Noa Msg Doc No.: M40-129B1 Page 1 of 1
Action: Approve
Issue: Application Processing
Auto ID No.:
Source
:
Issued by : 90-103
Reg Cite: 40-129; 40-173.1; 44-315;
44-317
Title: Approval after Immediate Need
Payment
Use Form No.: NA 200
Original Date : 12/01/90
Revision Date : New
MESSAGE:
As of ____________, the County has
approved your cash aid.
Your first day of cash aid is ___________.
Your first month’s cash aid amount is
$____________.
The amount you are getting now is
$____________. The amount you are getting
now is based on your full monthly cash aid
amount less the $____________ Immediate
Need payment you already got.
Your cash aid is figured on this notice.
INSTRUCTIONS: Use to approve regular cash aid after issuance of an Immediate Need
payment(s). In the action line, enter the date the regular cash aid approval
action was authorized (mm/dd/yy). In the body of the message, enter the beginning
date of cash aid (mm/dd/yy), the dollar amount of the regular cash aid payment and
the total dollar amount of any previous Immediate Need payment(s).
File: pstokesu/mseries/40129b1