Redetermination Forms

The redetermination (RD) forms to be completed include, but are not limited to:

  • Application for CalFresh, Cash Aid, and/or Medi-Cal/Health Care Programs (SAWS 2 Plus)/Statement of Facts (SOF)
  • Rights, Responsibilities and Other Important Information (SAWS 2A SAR)
    • When both parents are in the home, the SAWS 2A SAR must be reviewed with both, and both parents must sign and date the SAWS 2A SAR. 
    • The EW must complete the Eligibility Worker section of the SAWS 2A SAR since it serves as county certification that the client has been informed of their rights and responsibilities. Refer to the SAWS 2A SAR Eligibility Worker Section in Application Forms, which also applies to RDs.
  • CalWORKs Child Care Request Form and Child Care Payment Rules (CCP 7)
  • Would You Like to Register to Vote? (SCD 508).

Refer to Renewal Packets on the DEBS Forms Library for a full list of forms in the Renewal Packet.

Note: CalSAWS mails out the Renewal Packet via a batch job on the 15th day of the month prior to the month the RD is due. If the case is discontinued prior to the batch job, and the EW later rescinds the case, then the EW needs to manually send out the Renewal Packet.

Depending on each case's specific situation, additional forms listed in Case Record Forms may be required in the case record.

Related Topics

Annual CalWORKs Redeterminations

Scheduling RD Appointments

Redetermination Actions