Get the free Cal-Learn Notice of ExemptionDeferral Cal-Learn Notice of ExemptionDeferral

STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCY CALLER NOTICE OF EXEMPTION / DEFERRAL CALIFORNIA DEPARTMENT OF SOCIAL SERVICES DATE: CASE NUMBER: CASE MANAGER OR CALLER ELIGIBILITY WORKER (EW):

How to fill out cal-learn notice of exemptiondeferral

How to fill out cal-learn notice of exemption/deferral?

1. First, ensure that you have received the cal-learn notice of exemption/deferral form. This form is typically sent to individuals who are participating in the Cal-Learn program, which provides support and services for pregnant or parenting teens who are eligible for CalWORKs.
2. Start by carefully reading through the form and familiarizing yourself with its contents. The form will typically contain sections and questions that require specific information.
3. In the first section of the form, you will typically be asked to provide your personal information, including your name, address, phone number, and social security number.
4. The next section may require you to indicate the reason for seeking an exemption or deferral from the Cal-Learn program. Common reasons include medical conditions, alternative educational or vocational programs, or if you are parenting with an adult partner.
5. If you are applying for an exemption, you may need to provide supporting documentation, such as a doctor's letter or proof of enrollment in an alternative educational or vocational program. Attach any necessary documents to the form as instructed.
6. Once you have completed all the necessary sections and provided any required documentation, review the form to ensure that all the information provided is accurate and complete.
7. Sign and date the form as indicated, and make a copy for your records before submitting it to the appropriate entity. This may include your Cal-Learn case worker or the designated office where you received the form.

Who needs cal-learn notice of exemption/deferral?

1. The cal-learn notice of exemption/deferral is needed by individuals who are participating in the Cal-Learn program. This program is specifically designed for pregnant or parenting teens who are eligible for CalWORKs, California's welfare program.
2. Pregnant or parenting teens who meet the eligibility criteria for CalWORKs and choose to participate in the Cal-Learn program will need to fill out this form if they are seeking an exemption or deferral from the program requirements.
3. It is important to note that not all pregnant or parenting teens in the Cal-Learn program will require this form. Only those who meet specific criteria and wish to be exempted or deferred from certain program requirements will need to fill out and submit this form.

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What is cal-learn notice of exemption/deferral?

The Cal-Learn Notice of Exemption/Deferral is a form used to request an exemption or deferral from participating in the Cal-Learn program.

Who is required to file cal-learn notice of exemption/deferral?

Pregnant or parenting teens who are under 18 years old and receiving CalWORKs benefits are required to file the Cal-Learn Notice of Exemption/Deferral.

How to fill out cal-learn notice of exemption/deferral?

To fill out the Cal-Learn Notice of Exemption/Deferral, the teen needs to provide personal information, reason for requesting exemption or deferral, and any supporting documentation.

What is the purpose of cal-learn notice of exemption/deferral?

The purpose of the Cal-Learn Notice of Exemption/Deferral is to request an exemption or deferral from participating in the Cal-Learn program, which helps pregnant and parenting teens stay in school.

What information must be reported on cal-learn notice of exemption/deferral?

The Cal-Learn Notice of Exemption/Deferral requires personal information, reason for requesting exemption or deferral, and any supporting documentation.

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