Cambodian A-M

Cambodian Translations Beginning With Letters A Through M

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Cambodian forms beginning with letters N through Z

For Cambodian forms beginning with the following letters:

A | B | C | D | E | F | G | H | I | J | K | L | M

A

• ABCDM 229 (1/23) - Applicant/Recipient’s Authorization For Release Of Information To Community-Based Organization (CBO) In BenefitsCal
• ABCD 478A (5/20) - Disqualification Consent Agreement California Work Opportunity And Responsibility To Kids (CalWORKs) Program
• AD 100 (7/10) - Authorization For Use And/Or Disclosure Of Health Information Independent Adoption Program
• AR 2 SAR (3/15) - Reporting Changes For CalWORKs And CalFresh
• AR 3 (2/15) - Mid-Year Status Report For CalWORKs and CalFresh

C

• CCP 1 (3/15) - Declaration Of Exemption From Trustline Registration And Health And Safety Self-Certification
• CCP 4 (8/21) - Health And Safety Self-Certification (For license-exempt providers)
• CCP 6 (8/99) - Health And Safety Checklist
• CCP 7 (5/24) - CalWORKs Stage One Child Care Request Form And Payment Rules
• CCP 8 (10/19) - CalWORKs Stage One Child Care Authorization Form
• CF 1 (10/14) - Notice To All CalFresh Recipients - Important Please Read
• CF 10 (12/13) - Dependent Care Cost Affidavit
• CF 11 (9/22) - Notice To All CalFresh Recipients -  Important - Please Read - Use Starting October 1, 2022
• CF 11 (8/23) - Notice To All CalFresh Recipients - Use Starting October 1, 2023 
• CF 12 (6/23) - Notice to CalFresh Recipients
• CF 12 LP (6/23) - Notice to CalFresh Recipients - Large Print
• CF 18 (2/14) Eng/Cambodian - Important Information
• CF 20 (2/14) - You Do Not Owe Anything For Receiving CalFresh Benefits
• CF 21 (3/14) - Release Form
• CF 23 CR (2/14) - CalFresh Benefits How To Report Household Changes
• CF 28 Coversheet (2/14) - CalFresh Program Restricted Account Coversheet - Important To Know
• CF 28A (2/14) - CalFresh Program Restricted Account Agreement Part A
• CF 28B (2/14) - CalFresh Program Restricted Accounting Agreement part B
• CF 29 (10/13) - CalFresh Recertification Appointment Letter
• CF 29A (2/14) - CalFresh Initial Appointment Letter
• CF 29B (2/14) - CalFresh Initial On-Demand Appointment Letter
• CF 29C (2/14) - CalFresh Recertification Appointment Letter
• CF 29D (2/14) - CalFresh Recertification On-Demand Appointment Letter
• CF 30 (2/18) - SAR 7 Reminder Notice
• CF 30 LP (2/18) - SAR 7 Reminder Notice - Large Print
• CF 31 (6/19) - CalFresh Supplemental Form For Special Medical Deductions
• CF 34 (12/20) – CalFresh Notice of Change: Semi-Annual Reporting Eliminated
• CF 37 (11/16) - Recertification For CalFresh Benefits
• CF 100 (11/20) - CalFresh Request For Authorized Representative Drug Or Alcohol Treatment Center Resident
• CF 101 (11/20) - CalFresh Request For Authorized Representative
• CF 285 (8/21) - Application For CalFresh Benefits
• CF 285LP (4/21) - Application For CalFresh Benefits (20pt Font) - Use Starting June 1, 2019
• CF 285A (11/21) - Application For CalFresh Benefits
• CF 303 (7/24) – Replacement Or Disaster Supplement Affidavit
• CF 377.1 (5/20) - Notice Of Approval For CalFresh Benefits
• CF 377.1LP (5/20) - Notice Of Approval For CalFresh Benefits - Large Print 
• CF 377.1A (8/21) - Notice Of Denial Or Pending Status
• CF 377.10 (2/24) - CalFresh Notice Of Denial/Disqualification For Failure To Meet General CalFresh Work Rules
• CF 377.11 (6/18) - CalFresh Time Limit Notice - Failure To Meet The Able-Bodied Adults Without Dependents (ABAWDs) Work Requirement
• CF 377.11A (11/23) - CalFresh Time Limit Notice - Expiration Of Three Consecutive Months For Able-Bodied Adults Without Dependents (ABAWDs)
• CF 377.11B (9/23) - CalFresh Countable Month Letter - Use Of Countable Month For Able-Bodied Adults Without Dependents (ABAWDs)
• CF 377.11C (1/20) - CalFresh Informational Notice - CalFresh Time Limit For Able-Bodied Adults without Dependents (ABAWDs)
• CF 377.11D (1/20) – CalFresh Discretionary Exemption For Able-Bodied Adults Without Dependents (ABAWDs)
• CF 377.11E (12/23) – CalFresh Able-Bodied Adult Without Dependents (ABAWD) Time Limit Exemption Screening Form
• CF 377.2 (9/18) - CalFresh Notice Of Expiration Of Certification
• CF 377.2B (12/20) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members
• CF 377.2C (12/20) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members
• CF 377.2D (3/18) - CalFresh Notice Of Status Change For Households With Only Elderly And/Or Disabled Members
• CF 377.4 CR (1/14) - CalFresh Notice Of Change For Change Reporting Households
• CF 377.4 SAR (9/23) - CalFresh Notice Of Change For Semi-Annual Reporting Households
• CF 377.5 SAR (9/13) - CalFresh Mid-Certification Period Status Report
• CF 377.6 (8/13) - Information/Verification Needed
• CF 377.7A (2/14) - Notice Of Administrative Disqualification
• CF 377.7A1 (2/14) - Request For Restoration Of CalFresh Benefits After Administrative Disqualification
• CF 377.7B (6/22) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only
• CF 377.7B LP (6/22) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only - Large Print
• CF 377.7B1 (6/22) - CalFresh Repayment Notice - Inadvertent Household Errors Only Final Notice
• CF 377.7B1 LP (6/22) - CalFresh Repayment Notice - Inadvertent Household Errors Only Final Notice - Large Print
• CF 377.7C (2/14) - CalFresh Repayment Agreement For Inadvertent Household Errors Only
• CF 377.7D (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D1 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D2 (6/22) - CalFresh Repayment Final Notice - County Administrative Error (AE)
• CF 377.7D2 LP (6/22) - CalFresh Repayment Final Notice - County Administrative Error (AE) - Large Print
• CF 377.7D3 (6/22) - CalFresh Overissuance Notice For Administrative Errors (AE)
• CF 377.7D3 LP (6/18) - CalFresh Overissuance Notice For Administrative Errors (AE) - Large Print
• CF 377.7E1 (1/14) - CalFresh Repayment Agreement For Administrative Errors Only
• CF 377.7F (10/17) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV)
• CF 377.7F LP (2/18) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV) - Large Print
• CF 377.7F1 (10/17) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV)
• CF 377.7F1 LP (2/18) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV) - Large Print
• CF 377.7G (3/18) - CalFresh Intentional Program Violation (IPV) Notice - Due To Trafficking
• CF 377.7H (2/23) - CalFresh Informational Notice - Potential Intentional Program Violation (IPV)
• CF 377.9 (8/20) - Notice Of Back CalFresh Benefits
• CF 377.9LP (8/20) - Notice Of Back CalFresh Benefits - Large Print
• CF 385 (1/24) - Application For Disaster CalFresh
• CF 386 (2/14) - CalFresh Notice Of Missed Interview
• CF 387 (5/14) - CalFresh Request For Information
• CF 388 (7/24) - CalFresh Notice Of Restoration Approval
• CF 389 (7/24) - Notice Of Denial Of Restoration
• CF 478 (2/14) - Disqualifiction Consent Agreement CalFresh Program
• CF 485 (10/23) - CalFresh Elderly Simplified Application
• CF 485 LP (12/23) - CalFresh Elderly Simplified Application - Large Print
• CF 886 (11/23) - CalFresh Notice Of Work Rules
• CF 889 (12/23) - CalFresh Restaurant Meals Program Approval/Termination Notice of Action
• CF 1239 (12/20) - CalFresh Notice Of Approval/Denial/Termination Transitional Benefits
• CF 6177 (10/22) - CalFresh Student Exemption Screening Form
• CF SSA 1 (7/24) - Information For Households Applying For CalFresh With The Social Security Administration
• CF SSA 1LP (9/20) - Information For Households Applying For CalFresh With The Social Security Administration (20pt Font)
• CFAP 377.7B (8/23) – California Food Assistance Program (CFAP) - State CalFresh Overissuance Notice Inadvertent Household Error (IHE) - Use Starting October 1, 2025
• CL 1 (4/99) - Cal-Learn Registration Program Information Orientation Appointment
• CL 2 (4/99) - Cal-Learn Program Requirements
• CL 3 (4/99) - Cal-Learn Notice Of A Participation Problem
• CL 4 (4/99) - Cal-Learn Notice To Parent/Legal Guardian Of Cal-Learn Participant
• CL 8 (3/99) - Cal-Learn Notice Of Report Card Submittal Schedule
• CL 9 (3/99) - Cal-Learn Notice Of Good Cause Determination
• CL 10 (4/99) - Cal-Learn Notice Of Exemption/Deferral
• CL 11 (4/99) - Cal-Learn Notice Of Incomplete Grades
• CR 6181 (11/20) - Interpreter Services Statement And Confidentiality Agreement
• CSFP 001 (7/22) - Commodity Supplemental Food Program (CSFP) Participant Application
• CSFP 006 (7/22) - Commodity Supplemental Food Program (CSFP) Notice Of Action
• CTRI 01 (10/20) - California Tax Return Information (CTRI) Notification To Client
• CW 2.1Q (7/01) - Support Questionnaire
• CW 5 (7/01) - Veterans Benefits Verification and Referral
• CW 8 (11/14) - Statement of Facts For An Additional Person
• CW 8A (12/14) - Statement of Facts To Add A Child Under 16
• CW 10 (7/01) - Notice of Withdrawn Application
• CW 23 (3/00) - Senior Parent - Statement Of Facts
• CW 25 (7/01) - Supplemental Statement Of Facts - Minor Parent
• CW 25A (2/13) - Payee Agreement For Minor Parent
• CW 42 (9/23) - Statement of Facts - Homeless Assistance
• CW 43 (3/00) - CalWORKs Applicant Choice Form Immediate Need Payment/Expedited Grant
• CW 52 (7/18) - Changes To The California Work Opportunity And Responsibility To Kids (CalWORKs) Assistance Unit And Child Support Rules
• CW 52 (10/20) – California Work Opportunity And Responsibility To Kids (CalWORKs) Child Support Instead Of Cash Grant Option
• CW 61 (7/01) - Authorization to Release Medical Information
• CW 61A (6/01) - Physical Capacities
• CW 61B (6/01) - Mental Capacities
• CW 63 (11/20) - Request For Income And/Or Resource Verification
• CW 71 (3/00) - Statement Of Cash Aid Mother And Unrelated Adult Male (UAM)
• CW 74 (9/19) - Permanent Housing Search Document
• CW 80 (2/18) - Self-Certification Form For Motor Vehicles - CalWORKs
• CW 81 (4/10) - Lien Agreement
• CW 82 (3/00) - Important Information About This Agreement
• CW 86 (3/00) - Agreement - Restricted Account - California Work Opportunity And Responsibility To Kids (Calworks) Program
• CW 88 Coversheet (6/11) - You May Be Eligible For Diversion Services
• CW 88 (6/11) - Diversion Services Agreement CalWORKs Program
• CW 103 (11/09) - Multilingual - Transitional Medi-Cal
• CW 377 (12/23) - CalWORKs Informational Notice - Potential Intentional Program Violation (IPV)
• CW 2103 (6/16) Reminder For Teens Turning 18 Years Old
• CW 2166 (12/20) - Multilingual Work Really Pays! Here's How - Use Starting June 1, 2021
• CW 2166 (4/21) - Multilingual Work Really Pays! Here's How - Use Starting May 1, 2022
• CW 2166 (11/21) - Multilingual Work Really Pays! Here's How - Use Starting June 1, 2022
• CW 2184 (8/16) - CalWORKs 48-Month Time Limit
• CW 2184 (1/24) - CalWORKs 60-Month Time Limit - Use Starting October 1, 2024
• CW 2186A (1/24) - CalWORKs Exemption Request Form - Use Starting October 1, 2024
• CW 2186B (4/21) - CalWORKs Exemption Determination - Use Starting May 1, 2022
• CW 2187 (4/11) - YOUR CalWORKs 48-Month Time Limit - Use Until April 30, 2022
• CW 2187 (4/21) - Your CalWORKs 60-Month Time Limit - Use Starting May 1, 2022
• CW 2189 (3/15) - Notice of your CalWORKs Time Limit - 42nd Month on Aid
• CW 2189A (9/20) – Notice Of Your CalWORKs Time Limit – 54TH Month On Aid (Use Starting May 1, 2022)
• CW 2189B (9/20) – Notice Of Your CalWORKs Time Limit – 57TH Month On Aid (Use Starting May 1, 2022)
• CW 2190A (4/21) - CalWORKs 60-Month Time Limit Extender Request Form - Use Starting May 1, 2022
• CW 2190B (5/16) - CalWORKs 48-Month Time Limit Extender Determination Denial Form
• CW 2190B (4/21) - CalWORKs 60-Month Time Limit Extender Determination Form - Use Starting May 1, 2022
• CW 2191 (4/21) - Time On Aid Verification For CalWORKs/TANF 60-Month Time Limits - Use Starting May 1, 2022
• CW 2192 (4/21) - Tracking Non-California TANF Assistance For Time Limits - Use Starting May 1, 2022
• CW 2200 (5/23) - Request For Verification
• CW 2191 (6/11) - Time On Aid Verification For CalWORKs/TANF 48-Month Time Limits
• CW 2192 (6/11) - Tracking Non-California TANF Assistance For Time Limits
• CW 2200 (2/14) - Request For Verification
• CW 2208 - (2/13) - Your Welfare-To-Work 24-Month Time Clock
• CW 2211 (11/14) - Your CalWORKs Reporting Rules Have Changed
• CW 2212 (11/14) - The Rules For Your CalWORKs Case Have Change
• CW 2213 (10/15) - Response To Request To Inspect Case Record CalWORKs, CalFresh, TCVAP, And Refugee Programs
• CW 2215 (10/20) - California Work Opportunity and Responsibility to Kids (CalWORKs) Important Information for Safety Net And Certain Child-Only Case
• CW 2217 (1/15) - CalWORKs Request For Voluntary Repayment
• CW 2218 (3/22) - Rights, Responsibilities And Other Important Information For The California Work Opportunity And Responsibility To Kids (CalWORKs) Program (Non-Needy Caretaker Relative With Relative Foster Child) - Use Starting June 1, 2022 

D

• DFA 377.1 (11/01) - Notice of Approval
• DFA 377.1A (3/02) - Notice Of Denial Or Pending Status
• DFA 377.7A (4/21) - Notice Of Administrative Disqualification
• DFA 377.7D2 (10/00) - Food Stamp Repayment Notice for Administrative Errors Only, Final Notice
• DFA 377.7E (7/04) - Food Stamp Repayment Agreement For Administrative Errors Only
• DFA 377.7F (6/18) - CalFresh Overissuance Notice - Intentional Program Violation (IPV)
• DFA 377.7F LP (6/18) - CalFresh Overissuance Notice - Intentional Program Violation (IPV) - Large Print
• DFA 377.7F1 (10/00) - Food Stamp Repayment Notice for an Intentional Program Violation (IPV) Only, Final Notice
• DFA 377.7G (05/02) - Food Stamp Repayment Agreement For An Intentional Program Violation (IPV) Only
• DFA 377.10 (6/04) - Food Stamp Notice Of Disqualification
• DPA 19 (6/22) - Appointment Of Authorized Representative
• DPA 435 (1/18) - County Allegation Of Intentional Program Violation/Statement Of Position (Request For An Administrative Disqualification Hearing)
• DPA 436B (8/18) - County Information Letter
• DPA 479 (12/17) - Administrative Disqualification Hearing Waiver - CalWORKs/CalFresh

E

• EBT 1232 (6/22) - CalFresh Notice Of Action - EBT Account
• EBT 2216 (4/23) - EBT Surcharge Free - Direct Deposit Handout
• EBT 2259 (3/24) - Report Of Electronic Theft Of Benefits
• EBT 2259A (11/21) - EBT Scamming Acknowledgement
• EBT 2260 (8/21) - Excessive Card Replacement Warning Letter
• EFA 7 (7/21) - The Emergency Food Assistance Program (TEFAP) Certification Of Eligibility
• EFA 7A ENG/CB (3/11) - Emergency Food Assistance Program (EFAP) Certification Of Eligibility
• EFA 14 (3/24) - The Emergency Food Assistance Program (TEFAP) 2024 Income Guidelines
• EFA 15 (4/24) - Alternate Pick-Up Request Form The Emergency Food Assistance Program (TEFAP) 2024 Income Guidelines
• FDU 113 (7/22) - Civil Rights Annual Training Checklist For CSFP And TEFAP
• FSP 2 (1/21) - Family Stabilization Program Denial Notice - Use Starting May 1, 2022

G

• GEN 100 (11/20) - Examples Of Verification
• GEN 102 (1/22) - Appointment Letter
• GEN 111 (11/20) - Employer Statement Form
• GEN 853 (10/20) - Sworn Statement
• GEN 1179 (5/18) - Complaint of Discrimination
• GEN 1390 (3/17) - Informing Notice - Regarding An Action Taken On Your Case
• GEN 2101 (3/24) - Non-Work Social Security Number Request Form

L

• LIC 613B (6/22) - Personal Rights Children’s Residential Facilities
• LIC 9149 (8/14) - Family Child Care Home Property Owner/Landlord Consent Form
• LIC 9150 (8/14) - Parent Notification - Additional Children in Care
• LIC 9151 (8/14) - Property Owner/Landlord Notification Family Child Care Home

M

• M16-505A (7/02) - Designated Alternate Cardholder
• M16-705 (6/23) - EBT Adjustment Denial 
• M40-105D1 (1/15) - Notice Of Action - School Attendance
• M40-107 (6/11) - Addendum 1 - Child Support Collection For CalWORKs 48-Month Time Limit Exemption
• M40-107 (4/21) - Addendum 1 - Child Support Collection For CalWORKs 60-Month Time Limit Exemption - Use Starting May 1, 2022
• M40-107 (6/11) - Addendum 2 - Child Support Collection For CalWORKs 48-Month Time Limit Exemption
• M40-107 (4/21) - Addendum 2 - Child Support Collection For CalWORKs 60-Month Time Limit Exemption - Use Starting May 1, 2022
• M40-107A (4/21) - Time On Aid (no previous NOa issued), Other - Use Starting May 1, 2022
• M40-107B (6/11) - Time On Aid at Redetermination
• M40-107B (4/21) - Time On Aid at Redetermination - Use Starting May 1, 2022
• M40-107C (6/11) - Time On Aid Between 42th and 46th
• M40-107C1 (9/20) - Time on Aid Between 54th and 57th Month - Use Starting May 1, 2022
• M40-107D (4/21) - Time On Aid To Former CalWORKs Recipients - Use Starting May 1, 2022
• M40-107F (6/11) - Extended Beyond 48 Months of Aid
• M40-107F (4/21) - Extended Beyond 60 Months of Aid - Use Starting May 1, 2022
• M40-107F1 (6/11) - Extender Met After 48th Month
• M40-107F1 (4/21) - Extender Met After 60th Month - Use Starting May 1, 2022
• M40-107F2 (6/11) - Extender Ended
• M40-107F2 (4/21) - Extender Ended - Use Starting May 1, 2022
• M40-107G (1/22) - 60th Month On Aid, Discontinue - Use Starting May 1, 2022
• M40-107I (7/22) - 60th Month On Aid, No eligible child, Discontinue
• M40-107J (4/21) - Timed-Out Adult, Partial Approval - Use Starting May 1, 2022
• M40-107J1 (6/11) - Approval After 48 Months on Aid
• M40-107J1 (4/21) - Approval After 60 Months on Aid - Use Starting May 1, 2022
• M40-107K (6/11) - Increase Grant due to TOA Adjustment
• M40-107K (4/21) - Increase Grant due to TOA Adjustment - Use Starting May 1, 2022
• M40-129B (11/09) - Full Payment - Approve
• M40-129B1 (12/90) - Approval after Immediate Need Payment, Approve
• M40-129C (12/90) - Miscellaneous, Deny
• M40-129D2 (12/90) - Procedural Requirements, Deny
• M40-129D3 (12/90) - Procedural Requirements, Deny
• M40-129D4 (9/00) - Procedural Requirements, Deny
• M40-129D5 (11/14) - Failed to Provide Proof of SSN Application, Deny  
• M40-129E1 (12/90) - No Emergency, Deny
• M40-129E2 (12/90) - No Emergency, Deny
• M40-129E4 (12/90) - No Emergency, Deny
• M40-129E5 (12/90) - No Emergency, Deny
• M40-129E6 (12/90) - No Emergency, Deny
• M40-171D (6/18) - Basic Approval
• M40-181 (9/13) - SAWS 2 Redetermination Of Eligibility
• M40-181C SAR (9/13) - Notice Of Action - Balderas Reminder Notice
• M40-181F (7/22) - No Change at Redetermination
• M40-181G (10/23) - Redetermination Reminder Notice
• M40-195A (8/22) - ICT Notice Of Transfer, Sending
• M40-195B (8/22) - ICT Notice Of Transfer, Receiving
• M42-207A (10/15) - Over Property Limit, Deny
• M44-113H (11/12) - Change In Income
• M44-133T (9/20) - Minor Parent, Financial Eligibility, Partial Approval
• M44-211B (7/19) - Expanded Temporary HA For Applicants Fleeing DV, Approve
• M44-211D (7/19) - Temporary Shelter and/or Permanent Housing, Deny
• M44-211L (9/23) - Pregnancy Special Needs, Approve
• M44-211N (9/23) -  Pregnancy Special Needs, Change
• M44-211O (9/23) - Discontinue Pregnancy Special Needs Payment for Pregnant Person Only Assistance Unit
• M44-207K (5/20) – Financial Eligibility, Discontinue
• M44-207K1 (5/20) - Minor Parent, Financial Eligibility
• M44-207M (8/20) - Financial Eligibility, Deny
• M44-315A (5/20) - $10 Minimum Payment, Change - Use Until April 30, 2022
• M44-315A (8/21) - $10 Minimum Payment, Change - Use Starting May 1, 2022
• M44-315C (4/09) - Notice of Action - Four Percent Grant Reduction
• M44-316 (8/04) - No Change/Mid Quarter Reporting
• M44-316 SAR (9/13) - No Change/Mid-Period Reporting
• M44-316A (9/13) - Notice Of Action - Not Yet Changed
• M44-316B (9/13) - Notice Of Action - Change In Income Over IRT
• M44-316C SAR (9/13) - No Change/Mid-Period Report of Property
• M44-316D SAR (9/13) - Notice Of Action - Change In Income
• M44-340 (2/23) - Underpayment Adjustment, Approval
• M44-340C (8/12) - Underpayment Adjustment
• M44-350A (11/11) - Overpayment Adjustment
• M44-350E (11/11) - Excess Property O/P and Adjustment (W/O Good Faith)
• M44-350F (11/11) - Excess Prop O/P (W/O Good Faith)
• M44-350G (11/11) - Excess Prop O/P Adjustment (With Good Faith)
• M44-350H (11/11) - Excess Prop O/P (With Good Faith)
• M44-350I SAR (9/13) - Notice Of Overpayment
• M44-350J (3/12) - Overpayment To Be Stopped Effective February 1, 2012
• M44-350K (6/24) - EBT Replacement Denial
• M44-350L (12/18) - Notice Of Overpayment
• M44-352A (11/11) - Notice of O/P and Demand
• M44-352C (11/11) - Overpayment Recovery
• M44-352D (11/11) - Overpayment Recovery
• M44-352H (2/23) - Overpayment Adjustment 
• M44-352H SAR (9/13) - Notice Of Action Overpayment Adjustment
• M44-353 (2/24) - Notice Of Overpayment Discharge
• M81-215E (6/11) - Time Limit Diversion
• M81-215E (4/21) - Time Limit Diversion - Use Starting May 1, 2022
• M81-215F (6/11) - Time Limit Diversion
• M81-215F (4/21) - Time Limit Diversion - Use Starting May 1, 2022
• M82-812A (6/24) - Start of Cash Aid for Family Reunification Case
• M82-812B (6/24) - End of Cash Aid Following Family Reunification Discontinuance - Child Returned to Home
• M82-820A (9/21) - No Eligible Person, Deny
• M82-820D (9/23) - No Longer Eligible, Discontinue
• M82-832E (4/15) - Eligible Person Leaving AU, Change
• M82-832F (4/15) - Eligible Person Leaving AU, Discontinue
• M82-832H (10/20) - Child Does Not Meet Requirements (SB 380)

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