![](https://www.pdfsearch.io/img/5329664181960b35e51c636d7f0b85d5.jpg) Date: 2015-07-28 18:11:54
| | INSTRUCTIONS FOR FORM CA 800 ARC SUMMARY REPORT OF ASSISTANCE EXPENDITURES APPROVED RELATIVE CAREGIVER (ARC) General Information 1. Enter county name, and month and year of claim in space provided. 2. Enter name and teleAdd to Reading ListSource URL: www.cdsscounties.ca.govDownload Document from Source Website File Size: 10,89 KBShare Document on Facebook
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