County of San Diego Health and Human Services Agency HHSA Cash Assistance Program for Immigrants CAPI Program Guide Contents of Case Files Number Page 991061 1 of 1 Revision Date September 1 2019 Background This section provides information regarding what must be retained in a CAPI case Purpose This section is updated for the sunset review No Program rules have changed Policy The case file for persons found eligible for CAPI must include Information and evidence used by the worker to establish o Age o Blindness o Disability o Noncitizen status Information regarding the recipients o Property o Income o Living arrangements Such information must be recorded on a dated Statement of Facts form signed by the customer or hisher authorized representative under penalty of perjury o Verification of any other information if necessary to ensure a correct eligibility determination o Computation of the benefit amount o Documentation of all contacts with the customer or any other individual or organization regarding the recipient or the case Procedure Follow the actions in the policies above to ensure that the case file has the required documentation Program Impacts None References MPP 490133 ACL 9882 Sunset Date This policy will be reviewed for continuance on or by 09302022 Approval for Release Rick Wanne Director Eligibility Operations