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This document serves as a coversheet to be used for processing Inter-County Transfers for the Cash Assistance Program for Immigrants (CAPI) cases and is issued by the California Department of Social
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How to fill out CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) NOTIFICATION OF INTER-COUNTY TRANSFER

01
Obtain the CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) NOTIFICATION OF INTER-COUNTY TRANSFER form from your local county office or online.
02
Fill in your personal information, including your full name, address, and identification details.
03
Provide information about your current county of residence and the county you will be moving to.
04
Include your CAPI case number and the names and details of any family members receiving assistance.
05
Indicate the reason for the inter-county transfer.
06
Review the form for accuracy and completeness.
07
Sign and date the form to certify that the information provided is true.
08
Submit the completed form to your current county's CAPI office.

Who needs CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) NOTIFICATION OF INTER-COUNTY TRANSFER?

01
Immigrants receiving assistance through the CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) who are planning to move to a different county in California.
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The Cash Assistance Program for Immigrants (CAPI) is a California program that provides cash assistance to low-income seniors and persons with disabilities who are not eligible for federal SSI due to their immigration status. Immigrants who are receiving SSI benefits are not eligible for CAPI.
All refugees arriving in the United States are entitled to 8 months of Refugee Cash Assistance (RCA) from the date of their U.S. arrival. The RCA amounts vary based on the size of the family: Single person ($230/month), Family of 2 ($363/Month), Family of 3 ($485/month), Family of 4 ($611/month), etc.
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NOTE: NEW NEW YORK STATE BENEFITS AVAILABLE! The cash benefit ($180/month per person) is available for up to two years and you can also qualify for non-cash assistance, such as utility and housing vouchers, Fair Fares (a half-priced Metrocard), and Medicaid.
CAPI provides a monthly benefit that is the same as the comparable SSI benefit for an individual and an eligible couple. Thus, the monthly CAPI benefit rate for 2019 for an aged and/or disabled individual is $931.72 and $1,564.14 for an aged and/or disabled couple.
The Cash Assistance Program for Immigrants (CAPI) is a California program that provides cash assistance to low-income seniors and persons with disabilities who are not eligible for federal SSI due to their immigration status. Immigrants who are receiving SSI benefits are not eligible for CAPI.

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The CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) NOTIFICATION OF INTER-COUNTY TRANSFER is a formal process that notifies relevant authorities when an individual receiving CAPI moves from one county to another, ensuring continuity in assistance and adherence to regulations.
Individuals receiving CAPI who are planning to move to a different county are required to file the CAPI NOTIFICATION OF INTER-COUNTY TRANSFER to maintain their benefits and ensure proper processing of their assistance.
To fill out the CAPI NOTIFICATION OF INTER-COUNTY TRANSFER, applicants should provide their personal information, details about the current and new address, the date of the intended transfer, and any other required information as outlined in the form instructions.
The purpose of the CAPI NOTIFICATION OF INTER-COUNTY TRANSFER is to facilitate the smooth transition of benefits for immigrants moving between counties, ensuring that assistance is not interrupted and that the correct county is responsible for providing support.
Information that must be reported includes the recipient's name, identification number, current address, new address, transfer date, and any additional relevant details as required by the form instructions.
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