California CAPI Sponsor's Statement of Facts
This document is a critical form needed for sponsors of noncitizens applying for cash assistance. It gathers information regarding income, resources, and support. Proper completion is essential for eligibility assessment for the California Cash Assistance Program for Immigrants.
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How do I fill this out?
To fill out this form, please ensure you have all necessary personal information handy. You'll provide details about your income, resources, and any support you provide to the CAPI applicant. Be thorough and accurate, as discrepancies may affect eligibility.

How to fill out the California CAPI Sponsor's Statement of Facts?
1
Gather all required personal and financial information.
2
Carefully read and understand each question before answering.
3
Provide accurate and honest information to ensure compliance.
4
Attach any necessary supporting documents as requested.
5
Sign and date the form before submission.
Who needs the California CAPI Sponsor's Statement of Facts?
1
Sponsors applying for cash assistance for noncitizens.
2
Those assisting a family member or friend with their application.
3
Individuals supporting immigrants in their financial applications.
4
Legal representatives managing benefits for their clients.
5
Organizations providing aid to immigrants needing financial support.
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What are the instructions for submitting this form?
To submit the completed California CAPI Sponsor's Statement of Facts, you may mail it directly to your county welfare office. Ensure that you include all necessary supporting documents as required. It's crucial to follow up with the county office to confirm that your submission has been received and is being processed.
What are the important dates for this form in 2024 and 2025?
Ensure you check for updated submission deadlines for the CAPI program annually. Changes in regulations or requirements may occur in 2024 and 2025 that impact applicants. Always verify dates with the local welfare office for the most current information.

What is the purpose of this form?
The purpose of this form is to collect detailed information about the sponsor's financial circumstances. It is imperative for determining the cash assistance eligibility of noncitizens under the California Cash Assistance Program for Immigrants (CAPI). Completing this form accurately helps maintain the integrity of the financial assistance program.

Tell me about this form and its components and fields line-by-line.

- 1. Sponsor's Social Security Number: A voluntary field for sponsor identification.
- 2. Date of Birth: Required to establish the age of the sponsor.
- 3. Name: Includes first, middle, and last names of the sponsor.
- 4. Telephone Number: Contact number for communication.
- 5. Home Address: Current residential address of the sponsor.
- 6. Mailing Address: If different, this is where correspondence will be sent.
- 7. Spouse's Social Security Number: Voluntary field for the spouse of the sponsor.
- 8. Do you get assistance?: Yes/No question regarding any assistance received by the sponsor or spouse.
- 9. Monthly Amount of Support: Details on cash support provided to the applicant.
- 10. Employment Information: Questions regarding the employment status of the sponsor and spouse.
- 11. Resource Information: Fields regarding financial resources and assets owned by the sponsor.
- 12. Real Property Ownership: Questions about any real estate owned by the sponsor.
- 13. Vehicle Ownership: Details if the sponsor owns any vehicles.
What happens if I fail to submit this form?
Failure to submit this form can result in delays in processing the noncitizen's application for assistance. It may also lead to the denial of benefits if the required information is not provided.
- Eligibility Delays: Incomplete forms lead to delays in benefit assessment.
- Benefit Denial: Failure to submit may result in ineligibility for financial support.
- Legal Implications: Providing false information can have legal consequences.
How do I know when to use this form?

- 1. Initial Application: Complete the form when submitting an initial application for cash assistance.
- 2. Redetermination: Re-submit this form at each scheduled redetermination for continued benefits.
- 3. Change of Information: Use this form to report any changes in financial circumstances.
Frequently Asked Questions
Who needs to fill out the Sponsor's Statement of Facts?
Individuals sponsoring noncitizens applying for cash assistance under CAPI must complete this form.
How do I submit this form?
You can submit the form via mail or to your county welfare office.
Can I edit the PDF after downloading?
Once downloaded, you can use any PDF editor to make additional changes.
What information is required on the form?
You need to provide details regarding your income, resources, and support given to the applicant.
Is my Social Security number required?
Providing your Social Security number is voluntary, but it aids in processing your application.
What happens if I make a mistake?
If you recall a mistake, you may correct it before final submission; just ensure accuracy.
Where can I find additional help?
Local welfare offices typically provide assistance in completing this form.
What if I am not a sponsor but need this information?
You can still access the document for informational purposes, but only the sponsor should complete it.
How often do I need to submit this form?
You must submit this form during each application or redetermination for CAPI benefits.
Can I save the form for later?
While you can edit and download the file, saving directly on the site is not currently available.