PLEASE SIGN THE FORM AFTER ______ 1ST AND RETURN IT BY THE 5TH QR 7 (12/08) ELIGIBILITY/STATUS REPORT – QUARTERLY FOR CASH AID. TO KEEP YOUR BENEFITS COMING ON TIME, PLEASE SIGN THE FORM AFTER Medical Costs: If anyone who gets CalFresh and is 60 years old or older. o Am I required to report anything between QR 7 Submit Months? The Quarterly Eligibility/Status Report QR 7, also known as the QR 7 is a form all recipients.

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If you need assistance in obtaining this information, please discuss this with your CalFresh worker at the time of the interview. If employed, proof of income wage stubs, earning statements, etc.

CalFresh – Kern County Department of Human Services

You will receive an appointment by mail for an interview by phone or you may ask to complete your interview in person, or You can fax the completed, signed application form to Your application starts the day the county receives your signed application. Your application starts the day the county receives your signed application form. At the time of your interview, please bring verification with you of your income and expenses.

Receive an application when you ask for it and turn in your application the same calfresu you receive it.


County of Los Angeles DPSS – Semi-Annual Reporting

Failure to give full and correct information is punishable by law. Proof of identity driver’s fotm, etc. Promptly report changes in household circumstances to your worker. Child Protective Services Statistics. Unless exempted for some reason, all adults must be involved in job search activities. Stay healthy by eating nutritious foods.

Select or go to the following link: Benefits are available on a staggered schedule, one-tenth of CalFresh households receive them on the first working day of the month, the next tenth on the second working day, and so valfresh for the first 10 working days of each month. Have a fair hearing if you disagree with any action taken on your case.

Los Angeles County Department of Public Social Services

Firm will calfresg an appointment by mail for an interview by phone or you may ask to complete your interview in person, or Apply in person at your local Human Services officeespecially if you need CalFresh benefits right away, or call the CalFresh Application Line at Receive your CalFresh benefits or be notified that you are not eligible for the program within 30 days after you turn in your application.

Sign your name to certify, under penalty of perjury, that all your answers are true. Stretch their food budget to buy food for the whole family.

Leave your name and address and the application form will be mailed to you with from return envelope. Social Security Numbers for all household members. Computer matches reveal data regarding payroll records, noncitizen status, property and social security. Use CalFresh benefits only to buy eligible items. The CAT phone number is Buy more fruits and vegetables year round for their family.


Answer all questions completely and honestly when you apply for CalFresh benefits. Buy more healthy foods. Using CalFresh will not affect your immigration status or the immigration status of your family.

Not sell, trade, or give away your CalFresh benefits, or any CalFresh cards or documents. Report fodm income, household composition, citizenship and other required data.

Eat at least 5 servings of fruits and vegetables every day. Not put your money or possessions in someone else’s name in order to be able to get CalFresh benefits.

Receive CalFresh benefits within three 3 days if you are eligible and have little or no money. CalFresh benefits may be used only for the purchase of food to be prepared at home, certain prepared foods, or for seeds to grow your own food. Mail the completed, signed ca,fresh forms in the envelope. The following are examples of what to bring: