PD 24-10: Recently Obsoleted Forms For the Period of April, May, & June 2024
| Date: | 07/10/2024 |
| To: | Eligibility and Clerical Staff |
| From: | Elizabeth Garay, SSA Business Policy Implementation Specialist |
| Reference: | N/A |
Changes
The following forms were obsoleted in the second quarter of 2024 which include the months of April, May, & June. 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 | If Applicable, Obsolete History Noted Below |
| CF 215 | CalFresh Notification of Inter-County Transfer | N/A | N/A |
CF 215 obsoletion announcement: Common Place Update 23-03 (sccgov.org) |
| GA 919 | Appointment Notice for Medical Verification | SCD 1400 | General Assistance - Request for Medical Information | N/A |
| SCD 95 | Paternity Affidavit | N/A | N/A | SCD 95 obsoletion announcement: Update 2024-08: Changes to Chapter 14 Child/Medical Support (sccgov.org) |
| SCD 573 | Cash Assistance Program for Immigrants (CAPI) | N/A | N/A | Removed from informational packet |