PD 24-04: Recently Obsoleted Forms for the Period of January, February, & March 2024
| Date: | 04/08/2024 |
| To: | Eligibility and Clerical Staff |
| From: | Elizabeth Garay, SSA Business Policy Implementation Specialist |
| Reference: | N/A |
Changes
The following forms were obsoleted in the first quarter of 2024 which include the months of January, February, and March. These forms have been removed from the DEBS Forms Library and must no longer be used. If applicable, a replacement form is noted below. The county replacement forms have been added to the DEBS Forms Library.
| Form Number | Form Name | Replacement Form Number | Replacement Form Name |
| SCD 1264 | Language Survey - Interpreter/Translation Request | GEN 1365 | Notice of Language Services |
| SCD 1504 | Notice Of Use Of Computer Systems | N/A | N/A |
| SCD 187 | CalWIN Access Profile Create/Change Request | N/A | N/A |
| SCD 2300 | Proof Needed | GEN 100 | Examples of Verification |
| SCD 2317 | Benefits CalWIN brochure | SCD 2610 | BenefitsCal Flyer for Intake Packet |
| SCD 2341 | Benefits CalWIN brochure | SCD 2610 | BenefitsCal Flyer for Intake Packet |
| SCD 2426 | Benefits CalWIN Mobile App brochure | SCD 2610 | BenefitsCal Flyer for Intake Packet |
| SCD 571 | Access Your Cash Benefits flyer | Pub 388 | California Electronic Benefit Transfer (EBT) Card |
| SCD 574 | Important Information About Required Verifications for CAPI | GEN 100 | Examples of Verification |
| SCD 575 | CAPI Applicants and Recipients | N/A | N/A |
| SCD 576 | CAPI Recipient(S) Are Required To Apply For SSI/SSP | N/A | N/A |
| SCD 93 | MEDI-CAL Application Coverletter | N/A | N/A |
Implementation
Effective 04/08/2024.