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SAWS 2 – Statement of Facts for Cash Aid, Food Stamps, and Medi-Cal/ 34-County Medical Services Program (CMSP)

- On page 9, in section 35, delete the designation “FS”. Only “CA” and “MC” will remain.

- On page 10, in the “County Use” section for utility verification, all reference to client election of actual SUA is deleted.

See below for the comparison of change from the old version to the new format: Changed from: Changed to: Client elects □ Actual If Actual, Total Utilities $

□ SUA SUA prorated: □ YES □ NO Utility Allowance □ SUA □ LUA □ TUA SUA, LUA, TUA Prorated? □ YES □ NO

SAWS 2A QR – Rights, Responsibilities, and Other Important Information

- On the top of page 8, second column, under “Food Stamp Only”, the title “Standard Utility Allowance (SUA)” is changed to “Utility Allowances”. - The original text has been deleted and replaced with new text.

See below for the comparison of change from the old version to the new format: Changed from: Changed to: FOOD STAMP ONLY Standard Utility Allowance (SUA) FOOD STAMP ONLY Utility Allowances If you are billed for heating and/or cooling costs that are not included in your rent or mortgage payment, you may be eligible for the Standard utility Allowance (SUA). The SUA is one deduction for all of your eligible utility costs. If your utility bills are more than the SUA, you may switch between actual and the SUA at recertification. If you have other utility costs but your heating or cooling costs are included in your rent, your benefits will be figured on your actual utility costs. Ask the county to see if you are eligible for the SUA. You may still get food stamps even if your cash aid is denied, changed, or stopped. You will get another notice about your food stamps if there is any change. You will be allowed a Standard utility Allowance (SUA) deduction if you have heating and cooling costs. If you have utility costs other than heating or cooling, such as water, sewer, and garbage, you will be given a Limited utility Allowance (LUA) deduction. If you only have a telephone cost, you will be given a Telephone Utility Allowance (TUA) deduction. The SUA, LUA, and TUA are used to reduce your income, which helps you get more benefits.