SI SF01415.190 California — Exhibits (RTN 01, 05/2015)
Exhibit 1 California State Supplement Lead Questions
Exhibit 2 — SSP-22
Front
Back
Exhibit 3 Restaurant Meals Allowance (RMA) Application
Click to view APPLICATION FOR CALIFORNIA RESTAURANT MEALS ALLOWANCE
Exhibit 4 — OSS B Denial Paragraphs
We checked to see if you could get extra money from the State of California in your
Supplemental Security Income (SSI) payment because you told us you need help with
your personal care. Based on information we received, you are not eligible for the
extra money.
Why We Can’t Pay You More
To receive a higher state payment while you live in a relative’s home, you must both
need and receive help in that home taking care of your personal needs. We verify this
by asking your county welfare office to check your living arrangement. The county
told us that you:
_______ Do not need any help with your personal care.
_______ Are not receiving any help with your personal care.
Because of this, we can’t pay you extra state money.
Things To Remember
If, at any time, you think you qualify for this extra payment, please contact us right
away.