CAPI folks provide income and resource information on the Statement of Facts form (SOC 814) for new applicants, and on the SOC 804 at redetermination. However, the SOC 814 does not contain fields for the sponsor and the sponsor’s spouse’s information. CDSS came out with a “new” (since 12/09!) CAPI Sponsor’s Statement of Facts form (SOC 860) form, attached to this ACIN.

Counties are to begin using the SOC 860 immediately to determine initial or continuing eligibility. When there are multiple sponsors, a separate form should be provided for each sponsor. [Download]