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COUNTY NOTICE OF ACTION APPROVE APPROVED RELATIVE CAREGIVER (ARC) PAYMENTSTATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICESNotice Date : Case Name : Number : Worker
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Gather all the necessary documents and information needed to fill out the deny approved relative caregiver form.
02
Start by providing your personal information such as your name, address, phone number, and email address.
03
Fill out the sections that require information about the relative caregiver that you wish to deny approval for. This may include their name, relationship to the child, and any relevant background information.
04
Clearly state your reasons for denying the approval of the relative caregiver. Be sure to provide specific details and evidence to support your decision.
05
Review the completed form to ensure all information is accurate and legible.
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Who needs deny approved relative caregiver?

01
Anyone who has been assigned or deemed responsible for approving relative caregivers may need to fill out the deny approved relative caregiver form.
02
This could include social workers, case workers, or officials working in child welfare agencies or departments.
03
It may also be necessary for individuals who have legal authority or responsibility in approving or denying relative caregivers for a particular child.
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A deny approved relative caregiver refers to a caregiver who has been denied approval to care for a relative child due to various reasons, potentially including eligibility criteria not being met.
Individuals who have been denied approval as relative caregivers and wish to contest the denial are typically required to file the deny approved relative caregiver documentation.
To fill out the deny approved relative caregiver form, one must provide personal information, details regarding the relationship to the child, information about the reason for denial, and any additional documentation that supports their case.
The purpose of the deny approved relative caregiver process is to allow individuals who have been denied caregiver status to formally contest the decision and provide reasons or evidence supporting their case for approval.
Information that must be reported includes the caregiver's personal details, the child's information, reasons for the previous denial, and any supporting evidence or statements that clarify the circumstances.
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