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The California CW 74 form plays a crucial role in the process of securing temporary shelter payments while individuals search for permanent housing. This form is essential for those receiving Temporary Shelter (TS) payments, as it outlines the requirements for documenting the search for permanent housing. Recipients must engage with potential landlords each day they receive TS payments, with a maximum allowance of 16 consecutive days. The form requires individuals to record their daily contacts with landlords, including details such as the date of contact, the address, and the person spoken to. If a recipient is unable to make a contact on a particular day, they are permitted to compensate by contacting two landlords on the following day. Additionally, recipients must provide proof that their TS payments were utilized for shelter. The CW 74 form not only helps track these interactions but also includes an authorization for the county to verify the information provided, ensuring compliance with the program's requirements. By maintaining accurate records on this form, individuals can demonstrate their efforts in seeking permanent housing while receiving necessary support during their transition.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

PERMANENT HOUSING SEARCH DOCUMENT

Important Information

To get Temporary Shelter (TS) payments, you must look for Permanent Housing (PH) for each day you get a TS payment. You may get TS for a maximum of 16 days in a row.

You must talk to a person who could rent to you for each day you get TS. If you can't talk to a person on one day, you can talk to two people the next day to make up.

Case Name:

Case Number:

 

 

EW Name/Number

EW Phone:

 

 

You must give proof that your TS payment was spent for shelter.

You must keep a list of each person you talked with by filling in the information below. If you need more space, use the back of the form.

Date of Contact

Address

Person Contacted

Phone

This place wasn't rented because:

1.

2.

3.

4.

5.

6.

7.

8.

I authorize the County to verify the above information as needed to show that I am looking for Permanent Housing.

Signature

Date

 

 

CW 74 (7/12) RECOMMENDED FORM

Form Specifications

Fact Name Details
Purpose of the Form The CW 74 form is used to document efforts in searching for Permanent Housing while receiving Temporary Shelter payments in California.
Temporary Shelter Duration Individuals can receive Temporary Shelter payments for a maximum of 16 consecutive days.
Daily Contact Requirement For each day receiving Temporary Shelter payments, individuals must speak with at least one potential landlord or rental agent.
Compensating Contacts If a contact is missed on a given day, individuals can make up for it by contacting two people the following day.
Proof of Payment Use Recipients must provide proof that their Temporary Shelter payments were spent on actual shelter costs.
Information Recording The form requires individuals to keep a detailed list of each person contacted, including their name, address, and phone number.
Authorization for Verification By signing the form, individuals authorize the County to verify the provided information to confirm their search for Permanent Housing.
Governing Law This form is governed by California Welfare and Institutions Code, Section 17000, which outlines the provisions for Temporary Shelter assistance.

California Cw 74: Usage Guidelines

Filling out the California CW 74 form is a straightforward process. This form helps document your search for permanent housing while receiving Temporary Shelter payments. Follow these steps carefully to ensure you provide all necessary information.

  1. Begin by entering your Case Name at the top of the form.
  2. Next, fill in your Case Number.
  3. Provide the EW Name/Number and EW Phone details.
  4. In the section titled "Date of Contact," write the date you spoke with a potential landlord or rental agent.
  5. In the Address field, enter the address of the property you inquired about.
  6. Fill in the name of the Person Contacted at that address.
  7. Record the Phone number of the person you spoke with.
  8. In the space provided, note why this place wasn't rented. You can list up to eight reasons.
  9. At the bottom of the form, sign your name to authorize the County to verify your information.
  10. Finally, include the Date of your signature.

After completing the form, review it for accuracy. Make sure all required fields are filled out and that your contact information is correct. If you need more space for additional contacts or reasons, use the back of the form. Once you have finished, submit it as instructed to ensure your Temporary Shelter payments continue without interruption.

Your Questions, Answered

What is the purpose of the California CW 74 form?

The California CW 74 form is designed to assist individuals seeking Temporary Shelter (TS) payments while they search for Permanent Housing (PH). It serves as a record of the efforts made to find housing during the period when TS payments are received. This documentation is crucial to ensure compliance with the requirements for receiving TS payments.

How long can I receive Temporary Shelter payments?

You can receive Temporary Shelter payments for a maximum of 16 consecutive days. During this time, it is essential to actively search for Permanent Housing. Each day that you receive TS payments, you must engage with potential landlords or housing providers.

What are the requirements for talking to potential landlords?

For each day you receive TS payments, you are required to speak with at least one person who could potentially rent to you. If you are unable to make contact on one day, you have the option to talk to two people the following day to fulfill this requirement.

What information do I need to provide on the CW 74 form?

When filling out the CW 74 form, you need to provide the date of contact, the address of the potential rental, the name of the person you spoke with, and their phone number. It is important to keep a detailed list, as this information will be used to verify your search for Permanent Housing.

What should I do if I need more space on the form?

If the space provided on the CW 74 form is insufficient for listing all your contacts, you can utilize the back of the form for additional entries. Keeping thorough records is essential for demonstrating your efforts in seeking Permanent Housing.

Do I need to provide proof of how I spent my Temporary Shelter payment?

Yes, you must provide proof that your Temporary Shelter payment was used for actual shelter. This could include receipts or other documentation that confirms your expenditure on housing during the time you received TS payments.

What does it mean to authorize the County to verify my information?

By signing the CW 74 form, you are giving the County permission to verify the information you have provided. This verification process helps ensure that you are actively seeking Permanent Housing and meeting the requirements necessary to continue receiving Temporary Shelter payments.

Common mistakes

  1. Incomplete Information: Many individuals fail to fill out all required fields on the CW 74 form. Missing details such as the case name, case number, or contact information can lead to delays in processing. It is essential to provide complete and accurate information to ensure timely assistance.

  2. Insufficient Proof of Shelter Expenses: Applicants often neglect to keep receipts or other documentation showing how Temporary Shelter (TS) payments were spent. Without this proof, it becomes difficult to verify the use of funds, which can jeopardize eligibility for further assistance.

  3. Failure to Document Contacts: A common oversight is not maintaining a thorough record of conversations with potential landlords. Each contact should be noted, including dates, addresses, and phone numbers. Incomplete records can hinder the ability to demonstrate active housing searches.

  4. Not Understanding the Requirements: Some applicants do not fully grasp the stipulations regarding TS payments. They may not realize that they must engage with a landlord each day they receive TS. This misunderstanding can lead to missed opportunities and non-compliance with the program’s rules.

Documents used along the form

When applying for Temporary Shelter payments in California, you may encounter several other forms and documents that work alongside the California CW 74 form. Each of these documents serves a specific purpose to ensure that you meet the requirements for assistance and provide necessary information to the authorities. Below is a brief overview of these commonly used forms.

  • California CW 2 Form: This is the application for CalWORKs benefits. It collects information about your household and financial situation to determine your eligibility for various assistance programs.
  • California CW 7 Form: This form is used for reporting changes in your circumstances, such as income or household composition. Keeping this updated is crucial for maintaining your benefits.
  • Verification of Shelter Expenses: You may need to submit documentation proving how your Temporary Shelter payments were spent. This could include receipts or invoices for the shelter you utilized.
  • Housing Search Log: While the CW 74 form allows you to track your housing search, some programs may require a more detailed log that includes additional information about your search efforts.
  • Authorization for Release of Information: This document allows the county or agency to verify your information with landlords or other relevant parties to ensure compliance with program requirements.
  • Temporary Shelter Program Guidelines: This document outlines the rules and expectations of the Temporary Shelter program, helping you understand what is required during your housing search.

Understanding these documents can significantly enhance your experience in navigating the application process. Being prepared with the right forms will help you stay organized and focused on finding permanent housing. Remember, your efforts in communicating with potential landlords and keeping thorough records are key to receiving the support you need.

Similar forms

The California CW 74 form is designed to document the search for permanent housing while receiving temporary shelter payments. Several other documents serve similar purposes in tracking housing efforts and verifying eligibility for assistance. Here are four such documents:

  • California CW 7 Form: This form is used to report changes in circumstances affecting eligibility for benefits. Like the CW 74, it requires detailed information about housing status and efforts to secure permanent housing.
  • California CalWORKs Application Form: This application collects information about an applicant's need for assistance, including housing. It shares similarities with the CW 74 in that both require documentation of efforts to find stable housing.
  • Temporary Shelter Program (TSP) Verification Form: This form confirms participation in a temporary shelter program. It aligns with the CW 74 by requiring proof of housing search efforts during the period of assistance.
  • Housing Assistance Application: This document is used to apply for various housing assistance programs. It includes sections for detailing previous housing situations and ongoing searches, similar to the requirements outlined in the CW 74.

Dos and Don'ts

When filling out the California CW 74 form, consider the following guidelines to ensure accurate and complete submission.

  • Do provide your case name and case number clearly.
  • Do list each person you contacted for housing, including their address and phone number.
  • Do keep track of the dates you made contact with potential landlords.
  • Do ensure that you have proof of how your Temporary Shelter payment was used.
  • Don’t skip any days without making contact; try to talk to two people the next day if necessary.
  • Don’t forget to sign and date the form to authorize verification of your information.
  • Don’t leave any sections blank; complete all required fields for clarity.

Misconceptions

Here are four common misconceptions about the California CW 74 form:

  • Misconception 1: You don’t need to look for permanent housing if you receive Temporary Shelter (TS) payments.
  • This is incorrect. To qualify for TS payments, you must actively search for permanent housing every day you receive assistance. Failing to do so can jeopardize your benefits.

  • Misconception 2: You can talk to anyone about renting a place.
  • While you need to speak to potential landlords, the requirement is specific. You must engage with someone who is in a position to rent to you each day you receive TS payments.

  • Misconception 3: You don’t need to document your contacts.
  • Documentation is essential. You must keep a detailed list of each person you contact, including their address and phone number. This information is necessary to verify your efforts in seeking permanent housing.

  • Misconception 4: You can use TS payments for any expense.
  • This is misleading. You must provide proof that your TS payments were specifically used for shelter. Misuse of funds can lead to complications in your assistance.

Key takeaways

Here are some key takeaways about filling out and using the California CW 74 form:

  • Purpose of the Form: The CW 74 form is essential for individuals receiving Temporary Shelter (TS) payments. It documents your efforts to find Permanent Housing (PH).
  • Daily Requirement: For each day you receive TS payments, you must actively seek out Permanent Housing. You can receive TS for a maximum of 16 consecutive days.
  • Contact Requirement: It's mandatory to speak with at least one potential landlord or housing provider each day you receive TS. If you miss a day, you can compensate by talking to two people the following day.
  • Proof of Shelter Expenses: You must provide evidence that your TS payments were utilized for shelter. This could include receipts or other documentation.
  • Record Keeping: The form includes a section for you to list the details of each contact made. Make sure to fill in the date, address, person contacted, and their phone number.
  • Authorization: By signing the form, you authorize the County to verify the information you provided. This is necessary to confirm that you are indeed seeking Permanent Housing.

Keep these points in mind to ensure a smooth process while filling out and using the CW 74 form.