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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 11134 DATE 11022011 TO: FROM: County Welfare Director Supply Clerk / Forms Coordinator
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This refers to a specific date in the format DDMMYYYY.
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Individuals or entities who have relevant information pertaining to that date may be required to file.
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The form or document for filing on that date should be completed accurately and submitted according to the instructions provided.
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The purpose could vary depending on the context or the specific form being filled out for that date.
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