44-270.C. Semi-Annual Eligibility Status Report (SAR 7)

 

Table of Contents

Section

Topic

44-270.C.1

SAR 7 Report Form

44-270.C.2

Additional Required Report Forms

44-270.C.3

HSS Responsibilities

44-270.C.4

Information Reported on the SAR 7

44-270.C.5

Required Verifications

44-270.C.6

Completeness Criteria

CPG 295 (8/13)

 

44-270.C.1
SAR 7 Report Form
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With the exception of Annual Reporting/Child Only (AR/CO) Assistance Units (AUs) described in CPG 44-260.A.3, all CalWORKs AUs are required to submit one Semi-Annual Eligibility Status Report Form (SAR 7) each year.

Recipients may submit the SAR 7 in-person, by mail, or online via Benefits CalWIN (BCW) per County Policy.

The first eligibility report is the SAR 7, which is submitted once a year in Month 6 of the semi-annual period following the beginning date of aid (BDA) established by the initial application or annual redetermination.

There is no SAR 7 submitted at annual redetermination; instead, the SAWS 2 completed at annual redetermination is the second eligibility report and is submitted 12 months from the BDA.

ACL 12-25; County Policy

 

4-270.C.2
Additional Required Report Forms
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The SAR 7 will include the following report forms under certain circumstances when information from a sponsor or senior parent is needed to determine continuing eligibility for the AU:

         Sponsorís Semi-Annual Income and Resources Report (SAR 72) when the recipient is a sponsored noncitizen.See CPG 44-100.M for determining eligibility using the sponsorís income; and

         Senior Parent Semi-Annual Income Report (SAR 73) when a minor parent lives with his/her senior parent.Completeness criteria for the SAR 73 will follow the same completeness criteria outlined in CPG 44-270.C.6 for the SAR 7.Also see CPG 41-500.I for determining eligibility using the senior parentís income.

ACL 13-57

 

44-270.C.3
HSS Responsibilities
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The Human Services Specialist (HSS) is responsible for:

         Reviewing reporting responsibilities, including a review of the SAR 7, at initial application, annual redetermination, and any time it appears that an individual is having difficulty understanding their responsibilities;

         Ensuring that appropriate language services are used and documented in CalWIN; and

         Ensuring that reasonable accommodations are provided to individuals with disabilities, including assisting the recipient in completing the SAR 7 and making a Good Cause determination without the recipientís specific request if there is a disability-based reason for not submitting a complete SAR 7 timely.

ACL 12-25

 

44-270.C.4
Information Reported on the SAR 7
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The following information is reported on the SAR 7 and will be used to determine continuing eligibility for the upcoming SAR Payment Period:

         Income and eligibility information for the SAR Data Month;

         Changes since the initial application or most recent redetermination; and

         Reasonably anticipated income and/or expense changes for the next SAR Payment Period that is known during the SAR Data Month.

Recipients must provide information and answers to all required questions and sign the SAR 7, under penalty of perjury, that they have truthfully reported all required information.See CPG 44-270.C.6 below for SAR 7 completeness criteria.

VOLUNTARY MID-PERIOD REPORTS ON THE SAR 7

Reported changes on the SAR 7 will be treated as voluntary mid-period reports when the information on the SAR 7 was not known to the recipient until after the SAR Data Month.

         All other reports received in the SAR Submit Month, outside of the SAR 7 reporting process, will also be treated as voluntary mid-period reports.

         When a report of decreased income for the SAR Data Month is reported for the first time on the SAR 7, the HSS must determine if the household is eligible to a supplement for the SAR Submit Month (the month in which the change was first reported).

Example 1:Increased Income Not Known in the Data Month

Scenario

   A family is assigned to SAR cycle 1.

   Their May SAR 7 is submitted on June 8th.

   On June 15th, Mom reports that her June income is higher than what she anticipated on her May SAR 7.

   This increased income is not over her Income Reporting Threshold (IRT); however, she anticipates that her income at this amount will continue for the rest of the semi-annual period.

Outcome

   Since this increased income was not known during the May Data Month, it will be considered a voluntary mid-period report.

   No action will be taken unless the new income results in an increase in benefits.

Example 2:Increased Income Known during the Data Month

Scenario

   Same scenario as in Example 1 above.

   However, on June 15th when Mom reports her income increase, she reports that the increase occurred in May (the Data Month).

Outcome

   Since this information should have been reported on her May SAR 7, the increased income will be used to redetermine eligibility and benefit amounts for the new SAR Payment Period (July Ė December).

Example 3:Decreased Income Known during the Data Month

Scenario

   A family is assigned to SAR cycle 1.

   Their May SAR 7 is submitted timely on June 5th.

   A decrease in income is reported for May and is reasonably anticipated to continue at this level.

Outcome

   The decrease in income will be considered a voluntary mid-period report and a supplement will be issued for June (the month the decrease was reported), if eligible.

   The decreased income will also be used to determine continuing eligibility for the upcoming SAR Payment Period (July Ė December).

ACL 12-25

 

44-270.C.5
Required Verifications
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Verification of all gross income received in the SAR Data Month is required, as well as clarification and verification of any reasonably anticipated household changes (household composition, income, property, etc.).

Information reported by the recipient must be consistent with other available information, which has been determined by the Agency to be accurate.See CPG 44-270.D.6 for providing assistance and CPG 44-270.D.7 for information regarding obtaining clarification via phone call.

NOTE:Verification of self-employment expenses is required before a deduction based on actual expenses is allowed; however, the SAR 7 will not be considered incomplete if verification of self-employment expenses is not provided.The 40% self-employment disregard may be given without proof of actual expenses.

ACCEPTING AFFIDAVITS AND SWORN STATEMENTS

Under certain circumstances, an affidavit or sworn statement may be accepted if other verification does not exist, such as termination of self-employment income.

All other reasonable methods of verification must be attempted before an affidavit or sworn statement is accepted.See CPG 44-270.D.6 for providing assistance to recipients.

An affidavit or sworn statement may not be accepted to verify the following:

         U.S. citizenship or non-citizen status; or

         Medical verification of pregnancy.

ACL 12-25

 

44-270.C.6
Completeness Criteria
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COMPLETE SAR 7

The SAR 7 is considered complete if all of the following are met:

1.    The form is signed no earlier than the first day of the SAR Submit Month in which the SAR 7 is due;

2.    All questions pertaining to CalWORKs eligibility are fully answered and information on the SAR 7 together with attached documentation provides sufficient information to complete the eligibility determination;

3.    Required verification is provided per CPG 44-270.C.5; and

4.    Each natural or adoptive parent or aided spouse of a parent or other caretaker relative living in the home has signed the form under penalty of perjury.

Per CPG 44-270.C.2, recipients must provide additional report forms with their SAR 7 under the following circumstances:

         The SAR 72 must be provided when the recipient is a sponsored noncitizen; and

         The SAR 73 must be provided when a minor parent is living with his/her senior parent.

INCOMPLETE SAR 7

The SAR 7 is considered incomplete if:

1.    Required verification is not received;

2.    Information provided is not sufficient to determine eligibility; or

3.    Information from a previously unverified voluntary mid-period report is not included on the SAR 7.

NOTE:If a mid-period report was previously verified, it will be treated as reported and the SAR 7 will not be considered incomplete if the information is not re-reported on the SAR 7.See CPG 44-270.D.5 for processing changes reported mid-period.

Example:Verified Voluntary Mid-Period Report

Scenario

   A family is assigned to SAR cycle 2.

   In March, Mom voluntarily reports that she was given a car and verifies that it is worth $4,000.

   On the June SAR 7, Mom does not report that she received a car in March.

Outcome

   The SAR 7 will be considered complete because Mom already reported and verified the new resource.

NOTE:If two incomplete SAR 7s are received and there is sufficient information and verification to determine eligibility and benefit amount, then the SAR 7 will be considered complete.

ACL 12-25; 13-57