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Form 1099-LTC for Santa Clara California: What You Should Know

Wage information for CA-8 — (Formerly WR 8) — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA-2. CA-8 recipients will submit their new address information to the local health officer for the locality within 15 days of each month in accordance with local regulations. Wage information for CA-9 — (Formerly WR 9) — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA-2. CA-9 recipients will submit their new address information to the local health officer for the locality within 30 days of each month in accordance with local regulations. Providers may report this to Department of Public Social Services (DSS) by January 1st, 2018. CA-2/ACCESS — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA-2. The CA-2/ACCESS recipient must complete, sign and submit. Wage information for CA-3/ACCESS — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA-3. The CA- 3/ACCESS recipient must complete, sign and submit. CA-4 — Monthly AFDC Eligibility and Income Report — Used to report changes to the CA-2. California CA-4 recipients must complete, sign and submit. Wage information for CA-5 — (Formerly WR 5) — Monthly AFDC Eligibility and Income Report— Used to indicate changes to the CA-2 or CA-4. CA-5 recipients will use the local health agency (Canoe Area DOCS) with which they contract for information. Wage information for CA-6 — (Formerly WR 6) — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA-2. Note: CA-6 recipients will submit the CA-6 report via DSS. Wage information for CA-7 — (Formerly WR 7) — Monthly AFDC Eligibility and Income Report — Used to indicate changes to the CA 2. CA-7 recipients will use the local health agency (Canoe Area DOCS) with which they contract for information.

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