2. DCSS FIDM Procedures Continued

4. 9 Steps to FIDM EOTW and Hardship

5. BASIC FIDM CHECKLIST CSO Name: _____Date: ____________ NCP Name: _____Contact #: ________ CSE Case Number: ______________________________ FIDM Pending __FIDM Related __Multi-County Case __ Levy Date (Date NCP became aware of levy): __________ Financial Institute Name: _________Type of Account(s): checking __ savings __ other: ___ Total Held by F/I: $__________ CSE Case Balance (total of all CSE cases): $ __________ Amount of Levy: $ __________ Type of Levy: EOTW __ OTW ___ Source of Funds: ________________________________ Suppression ___________________ Withdrawal __________________ Levy Reduced__________________CC Payment $ _______________ COE sent: _____________________ COE received _______________ Expected FTB Full Collection: $ ______________________________

6. Financial Statement Marital Status:Children In Household: Roommates:Other Children in House: NCP’s Income:Total Household Income: Other Bank Accounts:Mortgage/Rent: Groceries:Utilities: Home Phone:Cell Phone: Auto Payment:Gasoline: Auto Insurance:Credit Card Payments: Day Care: Other: CSO Name: ___________Date: ____________ NCP Name: ___________ Contact #: __________

7. FIDM Follow Up Letter Claimant’s Name _______________Noncustodial Party: __________ Claimant’s Addr _______________Court Case No.: _____________ As we discussed on (today’s date), you were asked to provide the following supporting documentation to help us evaluate the levy against your bank account(s): _____Three (3) months of complete bank statements _____Hardship statement _____Proof of the following expenses: ________________________ _____Copy of your Veteran’s/SSA Benefit letter _____Proof of Unemployment or Disability Benefits _____Other: ____________________________________________ These documents must be received by __________. If the requested documents are not received by the date shown above, relief will be denied and funds received will be applied to the case. You may fax your documents to my attention at (323) 123-4567 or you may send them as attachments by email to banklevy@cssd.lacounty.gov.banklevy@cssd.lacounty.gov Please disregard this letter if these documents have already been sent.

8. EOTW/$5000 in the Account LCSA levies compliant NCP’s bank account containing $5000. NCP qualifies for the $3500 exemption, however you hear in his voice that he may want to request a hardship for the remaining $1500.

9. PLACE 90 DAY ALLOCATION HOLD FILL OUT FIDM CHECKLIST EXPLAIN EOTW EXPLAIN NON-REFUNDABLE BANK FEES NEGOTIATION TIME OFFER CREDIT CARD PAYMENT OR PAYMENT PLAN POSSIBLY SUPPRESS REDUCE OR WITHDRAW LEVY COMPLETE FIDM FINANCIAL STATEMENT** EOTW/$5000 in the Account (Continued)

10. Hardship Non-compliant NCP requests a hardship. No payments have been received since January 2011.

11. PLACE 90 DAY ALLOCATION HOLD FILL OUT FIDM CHECKLIST REQUEST BANK STATEMENTS ( 3/MONTHS) REQUEST HARDSHIP STATEMENT REVIEW STATEMENTS AND NEGOTIATE OFFER PAYMENT PLAN OR CREDIT CARD PAYMENT IF EXEMPT WITHDRAW LEVY POSSIBLY SUPPRESS COMPLETE FIDM FINANCIAL STATEMENT Hardship (Continued)

12. Wheel of Fortune

13. NCP (Mark Madness) and third party girlfriend (Karen Jay) called to claim that their joint checking account with Wells Fargo was levied for $4500.00 and the funds in the account belong Karen. Mark is upset because UIB payments are being garnished and posting to his case. Mark wants all money returned. Case Scenario (UIB)

14. Basic FIDM Checklist CSO Name: _____Date: ____________ NCP Name: _____Contact #: ________ CSE Case Number: ______________________________ FIDM Pending __FIDM Related __Multi-County Case __ Levy Date (Date NCP became aware of levy): __________ Financial Institute Name: _________ Type of Account(s): checking __ savings __ other: __ Total Held by F/I: $__________ CSE Case Balance (total of all CSE cases): $ __________ Amount of Levy: $ __________ Type of Levy: EOTW __ OTW ___ Source of Funds: ________________________________ Suppression ___________________ Withdrawal _________________ Levy Reduced__________________CC Payment $ _______________ COE sent: _____________________ COE received _______________ Expected FTB Full Collection: $ ______________________________

15. UIB Resolution Continued PLACE 90 DAY ALLOCATION HOLD REQUEST BANK STATEMENTS ( 3/MONTHS) REQUEST PROOF OF 3 RD PARTY FUNDS OFFER PAYMENT PLAN OR CREDIT CARD PAYMENT NEGOTIATE SUPPRESSION PAYMENT OF $1000 FROM LEVIED FUNDS INITIATE SUPPRESSION UPON RECEIPT OF FTB FULL COLLECTION** FILL OUT FIDM CHECKLIST REVIEW STATEMENTS AND NEGOTIATE

16. Wheel of Fortune NCP (Donald Trump) called to state that his business account with Citibank was levied for $6443.90 and he needs the funds to pay his employees. CSE indicates that an EOTW was issued. Case Scenario (EOTW)

17. Fill Out FIDM Checklist CSO Name: _____Date: ____________ NCP Name: _____Contact #: ________ CSE Case Number: ______________________________ FIDM Pending __FIDM Related __Multi-County Case __ Levy Date (Date NCP became aware of levy): __________ Financial Institute Name: _________Type of Account(s): checking __ savings __ other: ___ Total Held by F/I: $__________ CSE Case Balance (total of all CSE cases): $ __________ Amount of Levy: $ __________ Type of Levy: EOTW __ OTW ___ Source of Funds: ________________________________ Suppression ___________________ Withdrawal __________________ Levy Reduced__________________CC Payment $ _______________ COE sent: _____________________ COE received _______________ Expected FTB Full Collection: $ ______________________________

18. EOTW Resolution Continued PLACE 90 DAY ALLOCATION HOLD REQUEST BANK STATEMENTS REQUEST PROOF OF PAYROLL CHECKS REVIEW SUPPORTING DOCUMENTS WITHDRAW LEVY NEGOTIATE CC PAYMENT FOR 3 MONTHS SUPPRESSION PLAN** FILL OUT FIDM CHECKLIST **NO NEED FOR FINANCIAL STMT DUE TO PROOF OF PAYROLL FUNDS

19. Wheel of Fortune NCP (Mr. Roberts) called to state that his B of A checking account was levied for $1200.00 and he doesn’t understand why. Mr. Roberts claims he is permanently disabled and receives SSI only. Case Scenario (SSI)

20. Wheel of Fortune NCP (Caroline Walker) called to state that Chase levied her checking account for $836.55 and additional fee for $125 that will be remitted next week. CSE reflects that Caroline pays sporadically and is upset that child support continues to affect her life. Case Scenario (OTW)

21. Live Call SSDI Scenario

22. Live Call SSDI Scenario (Continued) CSO Name: _____Date: ____________ NCP Name: _____Contact #: ________ CSE Case Number: ______________________________ FIDM Pending __FIDM Related __Multi-County Case __ Levy Date (Date NCP became aware of levy): __________ Financial Institute Name: _________Type of Account(s): checking __ savings __ other: ___ Total Held by F/I: $__________ CSE Case Balance (total of all CSE cases): $ __________ Amount of Levy: $ __________ Type of Levy: EOTW __ OTW ___ Source of Funds: ________________________________ Suppression ___________________ Withdrawal __________________ Levy Reduced__________________CC Payment $ _______________ COE sent: _____________________ COE received _______________ Expected FTB Full Collection: $ ______________________________

23. FS-DCSS-0046 SUPPLEMENTAL SECURITY INCOME (SSI) RESOURCE TEST SELF-CERTIFICATION

24. Summary

25. The End THANK YOU fdavenport@cssd.lacounty.gov kmeighan@cssd.lacounty.gov kknowlton@cssd.lacounty.gov etannenwald@co.sanmateo.ca.us