California Code of Regulations
Title 2. Administration
Division 7. Secretary of State
Chapter 11. Safe at Home Confidential Address Program
22100. Safe at Home.
(a) The confidential address program for victims and household members established in Chapter 3.1 (commencing
with section 6205), and for reproductive health care services providers, volunteers, and patients established in
Chapter 3.2 (commencing with section 6215), of the Government Code, and operated by the Secretary of State,
shall be known as Safe at Home. Where Chapter 3.1 and 3.2 of the Government Code refer to the Secretary
of State, it is the Safe at Home Program within the Office of the Secretary of State that has the authority and
responsibility specified therein.
Note: Authority cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6205, 6205.5, 6206,
6206.4, 6206.5, 6206.7, 6207, 6207.5, 6208, 6208.1, 6208.2, 6208.5, 6209, 6209.5, 6209.7, 6210, 6215, 6215.1,
6215.2, 6215.3, 6215.4, 6215.5, 6215.6, 6215.7, 6215.8, 6215.9, 6215.10, 6215.12 and 6216 Government Code.
HISTORY
1. New chapter 11 (sections 22100-22130) filed 4-3-2003 as an emergency; operative 4-3-2003 (Register 2003,
No. 14). A Certificate of Compliance must be transmitted to OAL by 8-1-2003 or emergency language will be
repealed by operation of law on the following day.
2. New chapter 11 (sections 22100-22130) and section refiled 8-1-2003; operative 8-1-2003 (Register 2003, No.
31). A Certificate of Compliance must be transmitted to OAL by 12-1-2003 or emergency language will be
repealed by operation of law on the following day.
3. New chapter 11 (sections 22100-22130) refiled 12-1-2003 as an emergency; operative 12-1-2003 (Register
2003, No. 49). A Certificate of Compliance must be transmitted to OAL by 3-30-2004 or emergency language
will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 12-1-2003 order, including amendment of section heading, section and Note
and renumbering of former section 22100(b)-(e) to new section 22100.1(a)-(e), transmitted to OAL 3-29-2004
and filed 5-11-2004 (Register 2004, No. 20).
5. Amendment adding new subsection (a) designator and amendment of section and Note filed 3-3-2020; operative
3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register 2020, No. 10).
6. Governor Newsom issued Executive Order N-80-20 (2019 CA EO 80-20), dated September 23, 2020, relating to
the participation of public health officers in the Safe at Home Confidential Address Program, due to the COVID-19
pandemic.
22100.1. Designated Community-Based Assistance Programs for Reproductive Healthcare Workers under Chapter 3.2 (commencing with Section 6215) of Division 7 of Title 1 of the Government Code.
(a) Designated community-based assistance programs referred to in this chapter and in Chapter 3.2 (commencing
with Section 6215) of Division 7 of Title 1 of the Government Code shall be known as enrolling agencies.
Community-based assistance programs that are eligible to be designated as enrolling agencies are nonprofit
agencies that are independent abortion providers and Planned Parenthood clinics and state and local agencies.
(b) To apply to become a designated enrolling agency an eligible community-based assistance program as defined
in subdivision (a) shall submit a completed Enrolling Agency Agreement, revised September 29, 2003, to the
Secretary of State. There shall be no application fee for designation as an enrolling agency.
(c) The Enrolling Agency Agreement, revised September 29, 2003, requires all of the following:
(1) Name of agency or organization;
(2) Administrative address;
(3) Telephone and facsimile numbers;
(4) Printed name and signature of agency or clinic director and the date of signature; and
(5) Agree to:
(A) attend a program orientation and training provided by the Secretary of State to assist program
participant applicants with the enrollment and application process;
(B) review the application checklist with
applicants before forwarding the completed enrollment package and application fees to the Secretary of
State within twenty-four (24) hours of receipt of a completed enrollment package;
(C) maintain an adequate
supply of original application materials provided by the Secretary of State and not make copies of any of the
application materials;
(D) fulfill the obligations and responsibilities under Chapter 3.2 (commencing with
Section 6215) of the Government Code and this chapter.
(d) The Secretary of State shall review the Enrolling Agency Agreement to determine whether: (1) the community-based
assistance organization is eligible under subdivision (a); and (2) all requested information on Enrolling Agency Agreement is complete. If the community-based assistance organization is eligible under subdivision
(a) and the Enrolling Agency Agreement is complete, the Secretary of State shall designate the communitybased
assistance program as an enrolling agency. Within ten (10) business days of actual receipt of an Enrolling
Agency Agreement the Secretary of State shall mail a notice to the community-based assistance organization
stating whether or not it has been designated as an enrolling agency. Each enrolling agency shall attend a program
orientation provided by the Secretary of State prior to counseling program participant applicants.
(e) An enrolling agency shall cease to be designated as such upon any of the following: (1) the Secretary of State
receives written notification by an authorized representative of the enrolling agency that it is withdrawing from the
program; (2) the enrolling agency does not satisfy the definition provided in subdivision (a); or (3) the Secretary
of State finds that the enrolling agency is not fulfilling its obligations and responsibilities under this chapter and
Chapter 3.2 (commencing with Section 6215) of Division 7 of Title 1 of the Government Code. Termination of
designation as an enrolling agency shall be in accordance with Section 22100.4. Upon the effective date of the
termination, the community-based assistance organization shall not represent itself as an enrolling agency and
shall return any Safe at Home applications and materials to the Secretary of State within three (3) business days.
Note: Authority cited: Section 6215.9, Government Code. Reference: Sections 6215.2 and 6215.8, Government
Code.
HISTORY
1. Certificate of Compliance as to 12-1-2003 order, including renumbering and amendment of former section
22100(b)-(e) to new section 22100.1, transmitted to OAL 3-29-2004 and filed 5-11-2004 (Register 2004, No. 20).
2. Amendment of section heading filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section
11343.4(b)(3) (Register 2020, No. 10).
22100.2. Program Participant Application and Fees under Chapter 3.2 (commencing with section 6215) of Division 7 of Title 1 of the Government Code.
(a) To apply to become a program participant a reproductive health care services facility, provider, employee,
volunteer, patient, or family member of a reproductive health care services provider, employee, volunteer, or
patient who is a program participant shall submit a completed Safe at Home Application & Checklist Form,
revised September 29, 2003, in accordance with Section 6215.2 of the Government Code. The application fee for
a reproductive health care services facility, provider, employee, volunteer, or family member of a reproductive
health care services provider, employee, or volunteer who is a program participant is thirty dollars ($30). The
application fee is nonrefundable. Reproductive health care services patients and family members of reproductive
health care services patients who are program participants shall not be charged an application fee.
(b) In addition to the requirements contained in Section 6215.2 of the Government Code, the Safe at Home
Application & Checklist Form, revised September 29, 2003, shall include a notice that a person who willfully
certifies as true any material matter pursuant to Section 6215.2 of the Government Code which he or she knows
to be false is guilty of a misdemeanor and shall require all of the following:
(1) Applicant's first, middle, and last name, date of birth, age, marital status, and sex;
(2) Whether the program participant can sign for and accept legal documents at his or her residence or mailing
address; and
(3) Agree to all of the following provisions.
(A) Safe at Home is a mail forwarding service only. A program participant's mail will first be received at
the Secretary of State Safe at Home address in Sacramento before it is forwarded to a program participant's
address. This will result in a two to three day delay in receiving mail.
(B) Magazines, packages, catalogs, junk mail or any mail that is not first-class, except mail from governmental
agencies, will not be forwarded to a program participant's address.
(C) Mail may not be forwarded to a program participant if it is sent to a name other than the name listed
on the application form.
(D) Completing an application form using a name other than the program participant's legal name could result
in the denial of program privileges at certain agencies if a legal name is required to access their services.
(E) All state and local government agencies must accept a Safe at Home address. Private companies, such as
insurance, telephone, and utility, are not obligated to use a program participant's Safe at Home address and
may require an actual residential street address.
(F) If the program participant is a United States citizen, the program participant may become a Confidential
Voter by filling out the Confidential Affidavit of Registration and Absentee Ballot Application provided
with the program participant application. Once a program participant is registered, he or she shall receive an
Absentee Ballot to vote by mail in future elections.
(G) If the program participant purchases property using his or her own name, the property address location
will be listed on the legal description filed with the county assessor's office and available for public inspection
upon request.
(H) If the program participant purposefully or accidentally gives his or her actual residence address to an
agency, that agency is not required to keep that address confidential and is not responsible for its release.
(c) Within ten (10) business days of the Secretary of State actually receiving the Safe at Home Application &
Checklist Form the Secretary of State shall mail a notice to the applicant stating whether or not he or she has been
certified as a program participant.
(d) All information submitted by an applicant is confidential and shall be treated as such by enrolling agencies.
Enrolling agencies shall forward all Safe at Home Applications & Checklist Forms and all attachments thereto
to the Secretary of State within twenty-four (24) hours of receipt of a completed enrollment package. Enrolling
agencies shall not copy, store, or maintain any of the information provided by an applicant as part of the Safe
at Home Confidential Address Program, including, but not limited to, applications, attachments, supporting
documentation, notes, letters, payment information, and information therein.
(e) Enrolling agencies shall not charge any individual for counseling, application and orientation material,
assistance in completing the application, forwarding the application to the Secretary of State, or any other services
relating to Safe at Home.
(f) The annual fee for reproductive health care services facilities, providers, employees, and volunteers who are
health care professionals is seventy-five dollars ($75). The annual fee is nonrefundable. The annual fee must be
received by the Secretary of State no later than five (5) business days after the anniversary date of becoming a
program participant. If the annual fee is received by the Secretary of State later than five (5) business days after the
anniversary date of becoming a program participant, certification as a program participant shall be terminated in
accordance with Section 22100.4. Reproductive health care services patients and family members of reproductive
health care services patients who are program participants shall not be charged an annual fee.
Note: Authority cited: Section 6215.9, Government Code. Reference: Section 2166.5, Elections Code; and
Sections 6215.2, 6215.5, 6215.6 and 6215.8, Government Code.
HISTORY
1. Certificate of Compliance as to 12-1-2003 order, including renumbering of former section 22110 to new section
22100.2 and amendment of section heading, section and Note, transmitted to OAL 3-29-2004 and filed 5-11-2004
(Register 2004, No. 20).
2. Amendment of section heading filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section
11343.4(b)(3) (Register 2020, No. 10).
22100.3. Renewal Procedures for Participants under Chapter 3.2 (commencing with section 6215) of Division 7 of Title 1 of the Government Code.
(a) Certification as a program participant shall be for a term of four (4) years, except for reproductive health care
services facility volunteers. At least two (2) months prior to the four (4) year anniversary date of certification as
a program participant, the Secretary of State shall mail a renewal application entitled Notice of Renewal, revised
September 29, 2003 to each program participant. The renewal application and application fee in subdivision (a) of
Section 22100.2 must be received by the Secretary of State no later than five (5) business days after the expiration
of the four (4) year term. If the renewal application and application fee is received by the Secretary of State later
than five (5) business days after the expiration of the four (4) year term, the certification as a program participant
shall not be renewed.
(b) The Notice of Renewal, revised September 29, 2003, shall include a notice that a person who willfully certifies
as true any material matter pursuant to Section 6215.2 of the Government Code which he or she knows to be false
is guilty of a misdemeanor and shall require all of the following information:
(1) Name and program certification number of the primary program participant and minor children who are
program participants;
(2) Address or addresses that the program participant request not be disclosed for the reason that disclosure
will increase the risk of acts of violence toward the applicant;
(3) Mailing address where the program participant can be contacted by the Secretary of State, and the
telephone number or numbers where the program participant can be called by the Secretary of State;
(4) Whether the primary program participant is a reproductive health care services provider, employee, or
patient;
(5) Affirmation of the program participant that he or she continues to live in fear for his or her safety or that
of his or her family or the safety of a minor or incapacitated program participant in the care of the person
making the affirmation and that continued participation in Safe at Home is requested; and
(6) Signature of the program participant or legal guardian of the program participant and date of signature.
(c) Certification as a program participant for a reproductive health care services facility volunteer shall be for a
term that will expire six (6) months after the last date he or she volunteers at the facility. A program participant
who ceases to volunteer at a reproductive health care services facility shall immediately notify the Secretary of
State in writing as to the last date he or she volunteered at a reproductive health care services facility. The Secretary
of State shall send a letter by certified mail to the program participant confirming receipt of the notification and
identifying the date the certification shall expire.
Note: Authority cited: Sections 6215.2(e) and 6215.9, Government Code. Reference: Section 6215.2, Government
Code.
HISTORY
1. Certificate of Compliance as to 12-1-2003 order, including renumbering of former section 22120 to new section
22100.3 and amendment of section and Note, transmitted to OAL 3-29-2004 and filed 5-11-2004 (Register 2004,
No. 20).
2. Amendment of section heading filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section
11343.4(b)(3) (Register 2020, No. 10).
22100.4. Termination and Appeal Procedures for Participants under Chapter 3.2 (commencing with section 6215) of Division 7 of Title 1 of the Government Code.
(a) Notification of termination shall be sent to program participants and enrolling agencies by certified mail.
The notification of termination shall include the grounds for termination, the date in which termination shall be
effective, and the appeal procedures.
(b) A program participant or enrolling agency shall have five (5) business days from date of receipt of the
notification of termination to provide the Secretary of State with a statement signed by the program participant or
authorized representative of the enrolling agency appealing the termination. The statement shall include argument
and facts as to why the Secretary of State should not terminate the certification or designation. Any evidence,
including supporting declarations, shall be submitted with the signed statement. The Secretary of State shall have
three (3) business days from the date of receipt to review the appeal, issue a decision, and send by certified mail
the decision to the program participant or enrolling agency.
(c) If the appeal process for a program participant extends beyond the termination date identified in the notification
of termination, the Secretary of State shall continue to act as though the certification is valid until the Secretary of
State issues a decision. If the decision is to terminate the program participant's certification, the termination shall
be effective three (3) business days after the decision is mailed by certified mail to the program participant. The
decision shall also state the date in which the program participant's certification shall be terminated.
(d) If the appeal process for an enrolling agency extends beyond the termination date identified in the notification
of termination, the community-based assistance organization shall not represent itself as an enrolling agency,
unless and until such time as the Secretary of State reinstates the designation as an enrolling agency.
Note: Authority cited: Section 6215.9, Government Code. Reference: Sections 6215.3, 6215.4 and 6215.8,
Government Code.
HISTORY
1. Certificate of Compliance as to 12-1-2003 order, including renumbering of former section 22130 to new section
22100.4 and amendment of Note, transmitted to OAL 3-29-2004 and filed 5-11-2004 (Register 2004, No. 20).
2. Amendment of section heading filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section
11343.4(b)(3) (Register 2020, No. 10).
22100.5. Definitions.
The following definitions, along with any definitions included in sections 6205.5 and 6215.1 of the Government
Code, shall apply to the regulations contained in this chapter:
(a) “Applicant” means a person who has completed the enrollment application to participate in the Safe at Home
Program.
(b) “Enrolling Agency” means a California agency or community-based assistance program, or a communitybased
victims assistance program, designated to assist Applicants to the Safe at Home program complete and
submit an enrollment application.
(c) “Other Parent” means an individual, other than the Program Participant, who has legal parental rights regarding
the child or children of the Program Participant.
(d) “Safe at Home Authorization Number” means the unique identifying number assigned to each Program
Participant upon enrollment in the Safe at Home program.
(e) “Safe at Home Designated Mailing Address” means the address issued by Safe at Home to be used by the
Program Participant as their mailing address.
(f) “Identification Card” means the card provided to each Program Participant which contains the Program
Participant's first and last names, unique Safe at Home Authorization Number, and Safe at Home Designated
Mailing Address. The Identification Card can be used by the Program Participant to prove or substantiate
participation in the Safe at Home program.
(g) “Program Participant” means a person whose application for enrollment into the Safe at Home program has
been fully processed by Safe at Home program staff, has been assigned a Safe at Home Authorization Number
and a Safe at Home Designated Mailing Address, and who remains domiciled in California.
(h) “Primary Participant” means the person who is or was the direct victim of a crime as defined by section 6206
of the Government Code, and has one or more Household Members domiciled at the same address enrolled in
the program as a Program Participant.
(i) “Household Member” means an adult person who resides at the same residential address with the Primary
Participant and is related to the Primary Participant by blood, marriage, registered domestic partnership, adoption,
or is a cohabitant of the Primary Participant.
Note: Authority cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6205, 6217, Government
Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22100.6. Enrolling Agencies under Chapter 3.1 (commencing with section 6205) of Division 7 of Title 1 of the Government Code.
(a) To become a designated Enrolling Agency, the agency shall submit a completed Enrolling Agency Designation
Agreement Form, Form SAH-1A (6/2019), hereby incorporated by reference, to the Safe at Home program.
(b) The Safe at Home program shall review the Enrolling Agency Designation Agreement Form and any
additionally provided supporting documentation and shall determine whether the agency qualifies to become an
active Enrolling Agency. The Safe at Home program shall provide written notification to the agency informing
it of its status as an Enrolling Agency.
(c) Representatives or victim advocates of Enrolling Agencies shall complete training provided by the Safe at
Home program prior to assisting program Applicants with the application process. The training shall include
instruction on how to assist individuals who wish to participate in the Safe at Home Program as those individuals
complete the legally required sections of the Safe at Home enrollment application. Training shall also include
explanation of the roles and responsibilities of Enrolling Agencies, Program Participants and Safe at Home
Program staff in the effective administration of the Safe at Home Program.
(d) An Enrolling Agency shall lose its designation as an Enrolling Agency upon any of the following:
(1) The Safe at Home program receives written notification by an authorized representative of the Enrolling
Agency that the Enrolling Agency will no longer provide enrollment services to Safe at Home Applicants;
(2) The Safe at Home program determines the Enrolling Agency is not fulfilling its obligations and
responsibilities under Chapter 3.1 (commencing with Section 6205), or under these regulations.
Note: Authority cited: Section 6209, Government Code. Reference: Sections 6206 and 6208.5, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22100.7. Program Participant Application under Chapter 3.1 (commencing with section 6205) of Division 7 of Title 1 of the Government Code.
(a) An individual who alleges they are a victim of any of the offenses enumerated in Government Code section
6205.5 subsections (c), (e), (g), (i) and (j), or who alleges they are a Household Member of a Primary Participant
as defined in Government Code section 6205.5 subsection (f), and who desires to participate in the Safe at Home
program under Chapter 3.1 (commencing with Section 6205) of Division 7 of Title 1, shall complete a Safe at
Home Program Enrollment Application Form SAH-2 (6/2019), hereby incorporated by reference. If the Applicant
has minor children and is subject to court orders related to those children but does not have physical copies of those
orders to submit along with the SAH-2 form, the individual applying to participate in the Safe at Home Program
shall also complete the Declaration Confirming Court Orders, Form SAH-2A (6/2019), hereby incorporated by
reference. Both forms shall be completed at a designated Enrolling Agency location or in the presence of an
Enrolling Agency representative.
(1) A Household Member of a Primary Participant who chooses to apply to the Safe at Home program shall
submit documentation to substantiate the Household Member's residential address shared with the Primary
Participant.
Documentation may include:
A. Joint or individual checking account
B. California driver license
C. Property tax statement or bill
D. Utility bill
E. Lease or rental agreement
F. Property insurance documentation
G. Signed declaration
(2) A Household Member's participation in the Safe at Home program is linked to the participation of the
Primary Participant. When a Household Member is applying to the Safe at Home program at the same time
as the Primary Participant, the application for the Household Member shall be processed after the application
for the Primary Participant. The Household Member shall be enrolled in the Safe at Home program after the
application of the Primary Participant has been fully processed.
(3) If an Applicant with minor children becomes a Program Participant, Safe at Home shall send notice to
the Other Parent pursuant to section 6206(d) of the Government Code informing the Other Parent of the Safe
at Home address of their minor child or children. All Safe at Home Applicants shall provide the first and
last name, and the last known address for the Applicant's minor children, and the first and last name, and the
last known address for the Other Parent of the Applicant's minor children, regardless of whether or not the
Applicant seeks to enroll those minor children in the program.
(b) A guardian or conservator applying on behalf of an eligible minor or an incapacitated adult shall complete
application materials for the minor child or incapacitated adult, provide court documents that show proof of
guardianship or conservatorship, and complete the Safe at Home Supplemental Guardianship/Conservatorship
Form, Form SAH-2B (6/2019), hereby incorporated by reference, in its entirety.
(c) If the Safe at Home Program application is incomplete, Safe at Home program staff shall attempt to contact
the Applicant to obtain the missing information. An Applicant who fails to respond to a Safe at Home inquiry
regarding their application within 90 calendar days from the date of inquiry shall be denied enrollment into the
program based on the incomplete application. Safe at Home shall destroy all unprocessed enrollment applications
and any supporting materials after the 90 calendar days has passed.
(d) The Safe at Home program shall provide written notification to the Applicant of either denial to or acceptance
into the Safe at Home program.
Note: Authority cited: Section 6209, Government Code. Reference: Sections 6206, 6208.5 and 6209.7,
Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22100.8. Application Denial under Chapter 3.1 (commencing with section 6205) of Division 7 of Title 1 of the Government Code.
(a) Participation in the Safe at Home program shall be denied to an Applicant for any of the following reasons:
(1) Failure to provide information on the Safe at Home application form SAH-2 that is required under
Government Code section 6206. Safe at Home shall attempt to contact the Applicant to obtain required
information and complete the enrollment application before deciding to deny the Applicant participation
in the Safe at Home program pursuant to this section. If the Applicant fails to respond to this request for
statutorily required information within 90 calendar days, the application shall be denied.
(2) Making a false or fraudulent attestation on the enrollment application.
(b) Safe at Home shall provide the Applicant with written notice of a decision to deny the application. This notice
of denial shall include the reasons for denial.
Note: Authority cited: Section 6209, Government Code. Reference: Sections 6206 and 6209.7, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22100.9. Program Participant Renewals under Chapter 3.1 (commencing with section 6205) of Division 7 of Title 1 of the Government Code.
(a) Certification as a Safe at Home Program Participant shall be for a term of four years, after which the Participant
may renew certification by completing a Safe at Home Notice of Renewal, Form SAH-5 (6/2019), hereby
incorporated by reference.
(b) A child who reaches the age of 18 years old while participating in the Safe at Home program as a minor
child and chooses to continue participation in the Safe at Home program as an adult shall complete the renewal
application, Form SAH-5, provided by Safe at Home.
(c) A child who turns 18 years old while participating in the program as a minor child and elects to continue
participation in the Safe at Home program as an adult, and who is also the parent of a minor child, shall go to a
designated Enrolling Agency and complete the application process as a Program Participant for themselves and
for any minor children, regardless of whether or not those children will be enrolled in the Safe at Home program.
(d) If a renewal application is not received on or before the expiration of the four-year term, it will be considered
a withdrawal from the program and participation with the Safe at Home program shall be terminated.
(e) No later than 60 days prior to a renewal date, Safe at Home shall provide written notice to a Program Participant
that their enrollment is scheduled to expire if the Program Participant fails to renew enrollment. The notice shall
include the enrollment expiration/renew-by date, and instructions to renew participation in the Safe at Home
program.
Note: Authority cited: Section 6209, Government Code. Reference: Section 6206, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101. Withdrawals, Termination and Appeals under Chapter 3.1 (commencing with section 6205) of Division 7 of Title 1 of Government Code.
(a) A Program Participant may withdraw from the Safe at Home program by submitting a signed and dated written
request to the Safe at Home program. Upon receipt of the Program Participant's request for withdrawal, Safe at
Home shall send written confirmation of withdrawal, and request return of the Identification Card(s) issued by
Safe at Home, and the Program Participant shall be terminated from the Safe at Home program.
(b) If the Safe at Home program determines that termination of a Program Participant's enrollment with the Safe at
Home program is warranted, the Safe at Home program shall send a termination notice to the Program Participant at
the most recent mailing and/or residential address on file with Safe at Home. Termination of a Program Participant's
enrollment with Safe at Home is warranted if:
(1) The Program Participant's mail that has been forwarded to the Program Participant by Safe at Home is
returned to Safe at Home as undeliverable to that Program Participant;
(2) The Program Participant's four-year term of enrollment has expired, and the Program Participant has not
renewed their enrollment pursuant to Section 22100.9;
(3) Safe at Home discovers that the Participant more likely than not made a false attestation on their enrollment
application as described in section 6206, subdivision (e) of the Government Code.
(c) The Safe at Home termination notice sent to the Participant shall include the reasons for the proposed
termination of the Participant and shall describe a process for appealing the termination. The Safe at Home
termination notice shall include a clearly identified due date by which a Program Participant shall submit an appeal
to Safe at Home if the Program Participant wishes to remain active in the Safe at Home program. This clearly
identified due date shall be 30 calendar days from the date of the termination notice.
(d) If the Program Participant wishes to remain active in the Safe at Home program, the Program Participant may
submit a written appeal as described in Section 22101(e) of these regulations to the Safe at Home Program. To
be considered by Safe at Home, the appeal shall arrive at Safe at Home by the due date included in the Safe at
Home termination notice received by the Program Participant.
(e) A written appeal shall state facts that specifically rectify the reasons for termination stated in the Safe at Home
termination notice, or facts that show that the reasons for termination stated in the termination notice are incorrect.
The Safe at Home program shall issue a written decision on a timely received appeal within 30 calendar days of
receipt of the appeal from the Program Participant. The Program Participant shall not be terminated if the appeal
states facts showing the Program Participant is more likely than not still eligible to participate in the Safe at Home
program under Government Code section 6206 and that the reason for termination was incorrect.
(f) If a Primary Participant's enrollment is terminated or if they withdraw from the program, Household Members
shall be notified of their ineligibility to continue in the program as a Household Member and shall be informed of
options available to them should they wish to remain a Program Participant.
(g) All mail received by Safe at Home on behalf of a terminated Program Participant shall be returned to sender. No
written communication informing them of returned mail shall be provided to the terminated Program Participant.
Note: Authority cited: Section 6209, Government Code. Reference: Sections 6206, 6206.5, 6206.7 and 6208,
Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101.1. Mail Receipt, Handling and Forwarding.
(a) The Safe at Home program shall forward mail received by the Safe at Home Program and addressed to the
Program Participant to the Program Participant no less than three times per week.
(b) To ensure accurate mail processing and mail forwarding, Program Participant mail received by Safe at Home
shall include the Program Participant's name on file with Safe at Home and shall include the Program Participant's
Safe at Home Authorization Number.
(c) Mail that does not include the Program Participant's Safe at Home Authorization Number may result in either
a delay forwarding mail to the Program Participant, or in having the mail returned to sender if Safe at Home is
unable to verify the true intended recipient.
(d) Mail forwarding to Program Participants may be delayed due to government closures, holidays, and weekends.
(e) Program Participant mail received by Safe at Home shall be no larger than 9x12 inches and 1/4 inch thick, and
no greater than 16 oz. in weight. Mail that exceeds these dimensions shall be returned to sender.
(f) Certified and registered mail shall be forwarded as certified mail. All other express mail shall be forwarded
as first class mail.
(g) The Safe at Home program shall not forward magazines, or mail that is identified as containing online
purchases, medication, liquids or fragile items.
(h) Upon request by the Program Participant, the Safe at Home program shall hold Program Participant's mail for
a period not to exceed two weeks.
Note: Authority cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6206, 6207, 6215.2 and
6215.5, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101.2. Service of Process.
(a) Service of process intended for Safe at Home Program Participants is accepted by the Safe at Home program
during regular business hours, excluding state holidays, Monday-Friday, 8:00 a.m. to 5:00 p.m., Pacific Time.
Service shall be made at 1500 11th Street, 6th Floor, Sacramento, California 95814.
(1) The Safe at Home program is not authorized to accept service of process on behalf of individuals who
are not Program Participants in the Safe at Home program.
(2) Proof of Service in compliance with Section 417.10 of the Code of Civil Procedure shall accompany any
documents being served.
(3) The person being served shall be clearly identified in the documents being served by including the
Program Participant's legal name and their Safe at Home Authorization Number.
(4) The Safe at Home program shall forward a copy of the summons, writ, notice, demand or process to the
Safe at Home Program Participant's mailing address on file with Safe at Home.
(5) Safe at Home shall keep a record of all summonses, writs, notices, demands, and processes served,
including the time of service and Safe at Home actions taken with respect to the documents served.
Note: Authority cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6206 and 6215.2,
Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101.3. Confidential Name Changes under Chapter 3.1 (commencing with section 6205) of Division 7 of Title of the Government Code.
(a) Prior to petitioning the Superior Court of the county in which a Program Participant resides, a Safe at Home
Program Participant seeking a confidential name change pursuant to subdivision (b), section 1277 of the Code of
Civil Procedure shall complete and submit to the Safe at Home program a Confidential Notice of Intent of Name
Change Form, SAH-6 (2019), hereby incorporated by reference.
(b) The Confidential Notice of Intent of Name Change Form shall be completed by the Program Participant seeking
a name change and shall include their current legal name and the name they intend to adopt as their new legal
name resulting from the confidential name change process. Safe at Home shall make no assessment about the
legality or the appropriateness of the proposed new legal name.
(c) Only the guardian or conservator of a minor child or incapacitated adult who is a Program Participant shall
complete the Confidential Notice of Intent of Name Change Form on behalf of the minor child or incapacitated
adult Program Participant.
(d) A separate Confidential Notice of Intent of Name Change Form shall be filed for each minor child or
incapacitated adult whose name a guardian or conservator seeks to change.
(e) After Safe at Home has received a completed Confidential Notice of Intent of Name Change Form, the program
shall provide the requesting Program Participant with documentation to substantiate the Program Participant's
enrollment in the Safe at Home program.
(f) Once a Program Participant's legal name has been changed by the Superior Court, the Program Participant's
new legal name will be the name indicated on the most recently completed Confidential Notice of Intent of Name
Change Form sent to Safe at Home by the Program Participant.
(g) Once a Program Participant's name has been legally changed by the Superior Court and Safe at Home has
received a certified copy of the court decree changing the name, Safe at Home shall update program records to
reflect the new legal name and shall accept mail for the Program Participant addressed to their new legal name.
Safe at Home shall continue to accept mail sent to the Program Participant in his or her previous legal name for
90 days from the date of receipt of the court decree, after which, Safe at Home shall only accept mail addressed
to the current legal name on file.
(h) The Confidential Notice of Intent of Name Change Form, along with the court decree officially changing the
Program Participant's legal name, shall remain on file with the Safe at Home Program consistent with section
6206.4 of the Government Code.
Note: Authority Cited: Section 6209, Government Code; Reference: Sections 6206.4 and 6209.5, Government
Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101.4. Disclosing Confidential Information.
(a) Law enforcement agencies may request the disclosure of a Program Participant's confidential address or change
of name by submitting a written request on the official letterhead of the law enforcement agency. The letter shall
be signed and dated by the requesting officer's supervisor and addressed to the Safe at Home program. The request
shall include the investigating officer's name, badge number, and the name of the law enforcement agency to which
the information shall be disclosed. Safe at Home shall subsequently make the confidential address or name change
available for inspection and copying at the Safe at Home Program within the Office of the Secretary of State.
(b) The Safe at Home program shall not make a Program Participant's address, other than the address designated
by the Safe at Home program, or a Program Participant's name change, available for inspection or copying unless
requested by a law enforcement agency in a manner consistent with subsection (a), or pursuant to a court order.
(c) Law enforcement shall keep the Program Participant's confidential information out of non-confidential public
records, pursuant to section 6207 of the Government Code.
Note: Authority cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6207, 6208, 6215.5 and
6215.7, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
22101.5. Public Agency Use of Safe at Home Designated Address Exemption.
(a) When a state or local agency, has a bona fide statutory or administrative requirement to use a confidential
address of a Safe at Home Program Participant, the agency may request an exemption. The requesting agency
shall submit a written request to the Safe at Home program identifying the bona fide statutory or administrative
requirement to use the address that would otherwise be confidential.
(b) The agency request for exemption shall include all of the following:
(1) A detailed description of the agency's statutory or administrative requirement to use the residential address
which would otherwise be confidential;
(2) The name, address, telephone number, and signature of the agency's contact person, and date of signing;
(3) A statement that the confidential address will be used solely for the statutory and administrative purposes
provided in the request;
(4) A written confirmation of procedures that will be used so the confidential address is kept confidential
and not made available in public record.
(c) The Safe at Home program shall determine whether the requesting agency has a bona fide statutory or
administrative requirement for the use of the address which would otherwise be confidential, and that the
requesting agency has adequate procedures to maintain confidentiality of the Program Participant's residential
address.
(d) The Safe at Home program shall notify the requesting agency and the affected Program Participant of its
determination.
Note: Authority Cited: Sections 6209 and 6215.9, Government Code. Reference: Sections 6207, 6208, 6215.5
and 6215.7, Government Code.
HISTORY
1. New section filed 3-3-2020; operative 3-3-2020 pursuant to Government Code section 11343.4(b)(3) (Register
2020, No. 10).
