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.
CalFresh benefits. • Let the County know if you would like someone else to use your CalFresh benefits for your household or help with your CalFresh case (Authorized Representative). Please take and keep for your records PROGRAM RULES PAGE 1 OF 4
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