Article: California: Assistance Dog SpecialAllowance Program

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Jun 25, 2014, 8:18:13 PM6/25/14
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Subject: Article: California: Assistance Dog SpecialAllowance Program
California: Assistance Dog Special Allowance Program
http://www.dss.cahwnet.gov/cdssweb/PG82.htm
WHAT?
The Assistance Dog Special Allowance (ADSA) Program provides a monthly payment of $50 to eligible persons who use a guide, signal, or service dog to help them with needs related to their physical disabilities. The allowance is to help pay the costs of food, grooming, and health care for the dogs.
WHO? To be eligible for the ADSA program, an individual must meet all four of the following criteria: Live in California. Is blind, deaf, hard of hearing, or disabled.
Uses the services of a trained guide, signal, or service dog. Receives benefits from one or more of these programs:
- SSI (Supplemental Security Income)
- SSP (State Supplementary Payment)
- IHSS (In-Home Supportive Services)
- CAPI (Cash Assistance Program for Immigrants)
- SSDI (Social Security Disability Insurance)
(SSDI recipients must also meet federal poverty guidelines) WHERE TO GET INFORMATION? 
Office of Services to the Blind
744 P Street, MS 8-16-94
Sacramento, CA 95814
(916) 657-2628 (Voice)
(916) 653-7651 (TTY)
(916) 653-4001 (Fax)
Email: 
ADSA...@dss.ca.gov 
ASSISTANCE DOG SPECIAL ALLOWANCE (ADSA) PROGRAM FACT SHEET (Pub 294)
Applications are available in large print or in a CD version. The Office of Services to the Blind will verify that applicants are current recipients of SSI/SSP, IHSS, CAPI and SSDI. If you are on SSDI, verification of the federal poverty level is required. You will receive a notice within 30 days stating the outcome of our application process. If your application is approved, eligibility is retroactive to the first of the month, the month that is postmarked on your application envelope. 
APPLICATION FORMS 
To apply, please complete one of the following:
ADSA - New Application (Form ADSA 1)
ADSA - SSDI Recipients (Form ADSA 1B) 
These forms are in Adobe Acrobat "pdf" format. If you do not have the free Adobe Acrobat Reader, click on the following link, and you will be given instructions on how to download this free software:
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