Transcription of APPLICATION FOR CALFRESH BENEFITS - CDSS Public Site
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APPLICATION FOR CALFRESH BENEFITS - CDSS Public Site
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. You must at least give the County your name, address, and signature(question 1 on page 1) to begin the APPLICATION process. Give the APPLICATION to the County in person, by mail, by fax, or online.
APPLICATION FOR CALFRESH BENEFITS ... STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES CF 285 (11/16) REQUIRED FORM - SUBSTITUTES NOT PERMITTED COVERSHEET PAGE 1 OF 2 ... school, or participating in a required work activity. • Child support paid by a person in your household.
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