Transcription of APPLICATION FOR CALFRESH BENEFITS
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APPLICATION FOR CALFRESH BENEFITS
APPLICATION FOR CALFRESH BENEFITSIf you have a disability or need help with this APPLICATION , let the County Welfare Department (County) know andsomeone will help you. If you prefer to speak, read, or write in a language other than English, the County will get someone to help youat no cost to do I apply?Use this APPLICATION if you are applying for CALFRESH BENEFITS only. CALFRESH is a food assistance program to helpyou with the cost of buying food for your household. If you wish to apply for programs other than CALFRESH suchas, CalWORKs or Medi-Cal, please ask for an APPLICATION to apply for other programs. You can also apply forCalFresh or other programs online by going to You can see if you may be eligible bygoing to fill out the whole APPLICATION form, if you can.
• Withdraw your application at any time prior to the County determining eligibility. • Ask for help to fill out your application for CalFresh and get an explanation of the rules. • Ask for help to get proof that is needed. • Be treated with courtesy, consideration, and respect, and not be discriminated against.
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