The California MC 194 form is a referral notice used by the Health and Human Services Agency. It serves as a communication tool between the County Welfare Department, the recipient of benefits, and the Social Security Administration (SSA). This form is essential for individuals applying for or receiving benefits such as Medi-Cal, Food Stamps, or Cash Aid, as it facilitates the verification of Social Security Numbers (SSNs).
The form must be completed by the County Welfare Department (CWD) for recipients of benefits. Recipients themselves also play a crucial role by ensuring they take the form to the SSA along with necessary documentation. This process helps confirm their eligibility for benefits.
Several key pieces of information must be filled out on the MC 194 form, including:
-
County welfare office name and address
-
Recipient's personal details (name, date of birth, sex, SSN)
-
Eligibility worker's name and contact information
This information is vital for the SSA to process the referral effectively.
Recipients must take the completed MC 194 form to the Social Security Administration office listed on the form. It is important that they also bring the necessary documentation to verify their identity and eligibility. This may include identification documents and proof of citizenship or residency.
What documents do recipients need to bring to the SSA?
Recipients should bring two types of identification documents:
-
Evidence of age and citizenship, such as a birth certificate or school records.
-
Evidence of identity, like a driver's license or state ID.
If the recipient is a U.S. citizen born outside the U.S. or an alien, additional documents may be required.
Once the SSA receives the MC 194 form, they will review the information provided. They will either process the SSN application or communicate any issues, such as insufficient identification. The SSA will document the results of the referral and inform the eligibility worker as necessary.
If there are discrepancies between the information provided to the SSA and the eligibility worker, the recipient may need to provide additional documentation or clarification. It is essential to resolve these issues to ensure eligibility for benefits.
Recipients can reach out to the Social Security Administration directly for any questions regarding the MC 194 form or the identification documents required. The contact information for the SSA office is listed on the form, making it easier for recipients to get the assistance they need.
What should recipients do if they have not received their SSN?
If recipients do not have an SSN, they must apply for one as part of their benefits application process. The MC 194 form is a crucial step in this process, as it notifies the SSA of the need for an SSN and initiates the application process.