PD 25-18: Recently Obsoleted Forms for the Period of July, August, and September 2025
| Date: | 11/06/2025 |
| To: | Eligibility and Clerical Staff |
| From: | Elizabeth Garay, SSA Business Policy Implementation Specialist |
| Reference: | N/A |
Changes
Due to the continued cleanup of the DEBS Forms Library, the following forms were obsoleted in the second quarter of 2025, which include the months of April, May, and 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, and the county replacement forms have been added to the DEBS Forms Library where necessary.
- These forms will be removed from policy and Program handbooks as applicable.
- The Imaging and Task Creation Guide will be updated as applicable.
| Form Number | Form Name | Replacement Form Number | Replacement Form Name | If Applicable, Obsolete History Noted Below |
| SCD 1156 | Referral to Warrant Control for Replacement of Cashed County Warrant | N/A | N/A | No longer in use and no replacement available. |
| SCD 12 | Medi-Cal Information Sheet | N/A | N/A | No longer in use and no replacement available. |
| SCD 1456 | Warrant Replacement Five-Day Waiver | N/A | N/A | No longer in use and no replacement available. |
| SCD 191 | CalWIN Unit Registration Form | N/A | N/A | This is a CATS form only. |
| SCD 2219 | Office/Authorized Signature Request Form | N/A | N/A | This is a CATS form only. |
| SCD 2238 | Email Template: Rescind Sanction Request | N/A | N/A | No longer in use and no replacement available. |
| SCD 2284 | Medi-Cal Personal Identifiable Incident (PII) Report | N/A | N/A | No longer in use and no replacement available. |
| SCD 2295 | The CalWORKs Participant Guide | SCD 2632 | CalWORKs Welfare-to-Work Participant Handbook | N/A |
| SCD 2474 | Work Number Registration | N/A | N/A | This is a CATS form only. |
| SCD 2494 | CAIR Registration Request Form | N/A | N/A | This is a CATS form only. |
Implementation
Effective 11/06/2025.