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    Notification of New Employment

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    jadajackson5644
    Hene sent Elenor where. The wow r odneneoenen

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    Notification of New Employment

    Uploaded by

    jadajackson5644
    15 views1 page
    Hene sent Elenor where. The wow r odneneoenen

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Hene sent Elenor where. The wow r odneneoenen

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views1 page

    Notification of New Employment

    Uploaded by

    jadajackson5644
    Hene sent Elenor where. The wow r odneneoenen

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

    032 San Fernando Branch COUNTY OF LOS ANGELES


    9188 GLENOAKS BLVD
    SUN VALLEY, CA 91352-2611
    Date: 09/01/2023
    Case Name: JADA JACKSON
    Case Number: L3782B8
    Worker Name: Customer Service
    Worker ID: 19DP32CH0A
    NOTIFICATION OF NEW EMPLOYMENT Worker Phone Number: (866) 613-3777

    JADA D JACKSON
    21415 PLUMMER ST
    CHATSWORTH, CA 91311-4161

    Questions? Ask your Worker.

    We want to congratulate JADA D JACKSON on your new job. We received information from state
    and/or federal agencies showing that you recently became employed. We would like to request your assistance in updating
    our records, and remind you of your Income Reporting Threshold (IRT).
    1. Income Reporting Threshold (IRT) and Current Gross Income
    We would like to remind you that you have an IRT. You must report anytime your household’s TOTAL gross monthly income
    is above your current IRT within 10 days of getting the income above the IRT.

    Benefit Type CalWORKs CalFresh


    Family Size 1
    Your IRT is 1,580.00

    2. If Household’s Gross Monthly Income is BELOW the IRT


    If your household’s TOTAL gross monthly income is below the IRT, you will need to report your household’s TOTAL gross
    income on your next Semi-Annual Report (SAR 7) or at your next Recertification/Redetermination, whichever comes first.

    3. If Household’s Gross Monthly Income is ABOVE the IRT


    If your household’s TOTAL gross monthly income is above the IRT, please:
    (A) Call your county to provide the information, or you may call the phone number at the top of the
    page to make an appointment;
    (B) Mail us the information to the address below:
    032 San Fernando Branch, 9188 GLENOAKS BLVD, SUN VALLEY, CA 91352-2611

    (C) Provide the information online or through your county’s mobile application for cash aid, food and nutrition
    assistance, and medical services/benefits; or
    (D) Come in to any county office to provide the information in person.

    If you do not have this information, please obtain it from the following employer:

    Employer Name: RBKCTECK, INC.

    Employer Address: 11830 BALBOA BLVD, GRANADA HILLS, CA 913

    If you need assistance obtaining this information, please contact us.


    SAWS 30 (3/19) - REQUIRED FORM - NO SUBSTITUTES PERMITTED
    0000000421338005
    Page 1 of 1

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