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Get Mid-year Status Report - California Department Of Social Services ...

L SECURITY NUMBER (OPTIONAL) Use this form to report mandatory or voluntary changes that have occurred since your last redetermination/recertification (RD/RC). If you are reporting income information, please provide proof, such as, pay stubs; copies of checks; letters from agencies, etc. If you are reporting changes in expenses, please provide proof, such as, receipts; canceled checks, paid invoices; etc. If you are reporting an address change, please provide proof of expenses such as, a copy o.

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