Providing Application Assistance
Once the applicant understands his or her role as a participant, the policies he or she must adhere to, and the benefits that are available through the Safe at Home program, the Enrolling Agency Assistant helps the applicant complete the application process. The Enrolling Agency Assistant provides in-person assistance to the applicant with completing the application materials; witnesses and signs the materials, forwards the application materials to Safe at Home; and may provide follow-up assistance with returned or incomplete applications.
- In order to be eligible for enrollment in the Safe at Home program, the applicant must:
- be domiciled in California;
- be a victim of domestic violence, stalking or sexual assault or be applying on behalf of a minor child or incapacitated person who is a victim of domestic violence, stalking or sexual assault;
- be in fear for his or her safety or for the safety of the minor or incapacitated person for whom he or she is applying;
- complete and sign the Application Form;
- agree to follow the program rules by completing and signing the Application Acknowledgement Form.
- If the applicant has a minor child or children, the applicant must:
- provide the name(s) and last known address(es) of the minor child or children;
- provide the name(s) and last known address(es) of the other parent(s) of the minor child or children; and
- provide a copy of any court orders related to the custody, visitation or support of the minor child or children, and the name(s) and address(es) of legal counsel in those cases.
- To enroll a minor child or children, the applicant must have physical custody of the child or children and must complete an application form and ID card sheet for each child.
- IMPORTANT: If a court order requires the applicant to provide his or her residence address information to the other parent, his or her enrollment in the Safe at Home program will not change that. The applicant will need to amend the court order so the Safe at Home P O Box can be provided to the other parent in lieu of the residence address; otherwise the applicant may be in violation of the court order.
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Completing and Submitting the Safe at Home Application Packet
- Application process: (per Government Code §6206)
- Interested and qualified persons may apply for Safe at Home through a certified enrolling agency, only.
- The enrolling agency staff sends completed and signed materials to Safe at Home.
- Safe at Home reviews the materials to make a determination to accept or deny the application.
- The Safe at Home enrollment application review process takes approximately two to three weeks.
- First Step: Verify eligibility.
- Ensure the applicant is domiciled in California.
- Ensure the applicant (or the minor or incapacitated person for whom he or she is applying) is a victim of domestic violence, stalking or sexual assault and that he or she is in fear for his or her safety or for the safety of the minor or incapacitated person for whom he or she is applying.
- If the applicant has minor children, ensure the applicant provides:
- the names and addresses of any minor children;
- the names and addresses of the other parents of those children;
- any court orders related to the custody, visitation or support of those minor children; and
- the names and addresses of legal counsel in those cases and any court orders related to the custody, visitation or support of those children.
- Second Step: Help applicant complete enrollment forms.
- Brochure: Provide brochure and give general information about the Safe at Home program.
- Application Form(s): Help applicant complete one application form per person (including children).
- Acknowledgement Form: Help applicant complete one acknowledgement form (one per family or one for each adult).
- ID card(s): Applicant must complete one ID card sheet per person (two ID cards per person, parents provide parent signature on minor child ID cards). Please do not cut or perforate the ID card sheets!
- Voter Registration card: Help applicant complete a Safe at Home confidential voter registration card (if the applicant is eligible to vote).
- If the applicant claims that he or she does not have documentation or information related to the custody, visitation or support of their minor children, the applicant must complete a sworn statement attesting to that fact. The sworn statement must be specific and it must be signed under penalty of perjury. A sworn statement form can be requested from Safe at Home by the enrolling agency.
- If the applicant has a no-contact restraining order and has minor children, request that he or she submit the order with his or her application to prevent sharing of his or her new SAH P O Box information with the other parent. Safe at Home is required by law to notify the other parent of a minor child of an enrolled participant of his or her enrollment in the program and of how to serve him or her with court documents through the Secretary of State's office.
- Third Step: Ensure all forms and documentation are included and completed correctly.
- All sections of the application and application acknowledgement form must be completed.
- Applicant and enrolling agency staff signatures must be provided in required areas.
- The sworn statement or child custody documentation and information must be included.
- Safe at Home ID cards are signed by the adult or parent.
- The applicant submits a no-contact order if he or she wants to prevent sharing of his or her new SAH P O Box information with the other parent of his or her minor child.
- Things to Avoid:
- Do not make copies of materials (Safe at Home only accepts originals).
- Do not give applications to enrollees to take home.
- Do not guarantee participation in program.
- Do not punch out, cut in half, or write on the ID cards.
- Do not forget to sign as the enrolling agency assistant as required on both the application and acknowledgement forms.
- To support their application, applicants may also submit (per Government Code §6206(a)(2)):
- a police report;
- a restraining order;
- a police, court or government agency record or file;
- a letter from victim advocate with substantial knowledge of abuse/harassment/threats (on agency letterhead and signed);
- documentation from a legal, clerical, medical or other professional (on letterhead and signed); or
- any other documenation that supports the sworn statement on the application.
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Returned Application Assistance
- If there are any problems with a Safe at Home application package, including evidence or child custody discrepancies or missing or incomplete information on the application or acknowledgement form; Safe at Home will send a letter and the incomplete or new materials to the applicant, with a Cc'd copy to the application assistant.
- Safe at Home staff retains the remaining application materials until the new or corrected documentation is received.
- When corrected or new materials are received, Safe at Home reevaluates the application package to make sure it is complete before it is processed.
- Periodically, Safe at Home staff will contact the applicant to check on the status of a returned application. If there is no contact after 90 days, the applicant may be required to re-apply to the program.
- If, after one year, we have received no response to inquiries about the rejected materials, the application package will be destroyed. Once the application package has been destroyed, the applicant must re-apply to the program by completing new paperwork.
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