How to Fill Out Form CW 74

Form CW 74 at a glance

What it is: Permanent Housing Search Document, California Department of Social Services, CW 74.

Who signs: Sign on the Signature line and enter the Date.

To get Temporary Shelter (TS) payments, you must look for Permanent Housing (PH) for each day you get a TS payment. You may get TS for a maximum of 16 days in a row.

A filled-in Form CW 74 example: a filer lists three housing contacts

Form CW 74 example filled out, example: a filer lists three housing contacts
Maria Sample fills out Form CW 74 to keep her shelter payments. She talked to one person on each of three days, so rows 4 to 8 of The list of people you talked with stay empty. The picture shows page 1, and its names and figures are sample values. The three dates are the three days she got a TS payment.

How to fill out Form CW 74, box by box

Case Name, Case Number, EW Name/Number and EW Phone

Form CW 74 example filled out, case Name, Case Number, EW Name/Number and EW Phone

Enter the Case Name, Case Number, EW Name/Number and EW Phone.

The list of people you talked with

Form CW 74 example filled out, the list of people you talked with

You must talk to a person who could rent to you for each day you get TS. If you can't talk to a person on one day, you can talk to two people the next day to make up.

You must keep a list of each person you talked with by filling in the information. If you need more space, use the back of the form.

For each person, enter the Date of Contact, Address, Person Contacted and Phone and This place wasn't rented because.

Signature and Date

Form CW 74 example filled out, signature and Date

With the Signature, you authorize the County to verify the information in this form as needed to show that I am looking for Permanent Housing.

Sign on the Signature line and enter the Date.

More rules for Form CW 74

You must give proof that your TS payment was spent for shelter.

Sources

[1] Form CW 74 (7/12), Permanent Housing Search Document, California Department of Social Services (the Official source link on this page).

CW 74 Permanent Housing Search Document PDF Details

Date of Contact, Address, Person Contacted, Phone and why this place wasn't rented are listed for each person you talked with.

Maximum: You may get TS for a maximum of 16 days in a row.

Each day: You must talk to a person who could rent to you for each day you get TS.

To make up: If you can't talk to a person on one day, you can talk to two people the next day to make up.

Proof: You must give proof that your TS payment was spent for shelter.

Keep a list: You must keep a list of each person you talked with. If you need more space, use the back of the form.

QuestionAnswer
Form Name CW 74 Permanent Housing Search Document
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 3 min
Other names CW 74, CW74, CW 74 form, Permanent Housing Search Document
Edition7/12
Issuing agencyCalifornia Department of Social Services