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FULL PACKET_2013-08-05
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FULL PACKET_2013-08-05
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Last modified
4/6/2017 4:20:22 PM
Creation date
8/1/2013 3:57:34 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
8/5/2013
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Q9 Between January 1st and March 31st, 2008, did you receive assistance or support in the <br />form of cash or non -cash aid from.... <br />a. Ca1WORKs or Welfare to Work <br />b. Section 8 or HUD housing support or military housing <br />c. Food stamps <br />d. Medi -Cal (Cal Optima) <br />e. Medicare <br />f. WIC Program (Woman, Infants and Children) <br />g. Child Care Assistance <br />h. Unemployment insurance <br />i. Disability insurance <br />YES <br />NO <br />7. DONT KNOW <br />9. REFUSED <br />[REPEAT Q9A THROUGH Q9D FOR EACH `YES' RESPONSE <br />TO Q9a THROUGH Q9j] <br />Q9A What is the value of the [INSERT TYPE OF ASSISTANCE] you are or were <br />receiving each month? <br />1. AMOUNT > <br />7. DON'T KNOW <br />9. REFUSED <br />Q9B For how many months have you received [INSERT TYPE OF ASSISTANCE]? <br />1. NUMBER OF MONTHS > <br />7. DON'T KNOW <br />9. REFUSED <br />Q9C Are you still receiving [INSERT TYPE OF ASSISTANCE]? <br />1. YES [SKIP TO Q 10] <br />2. NO [CONTINUE] <br />7. DON'T KNOW <br />9. REFUSED <br />19F -323 <br />
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