CalFresh Recertification Instructions and Guidelines

To submit this form, you can do it in person or via mail to your County Welfare Department. You may also opt to submit it by fax or through the online submission portal used by your county. Always ensure that the application is signed and complete before submission to avoid delays.

Important dates for CalFresh recertification include application deadlines usually a month before your certification ends. Ensure you mark your calendar to avoid lapses in benefits. For any changes in deadlines, always refer to your County's announcements.

The purpose of this form is to facilitate the recertification process for CalFresh benefits in California. Completing this form ensures that beneficiaries continue to receive necessary food assistance. It outlines eligibility requirements, responsibilities, and application procedures.

• 1. Name: The full name of the applicant.
• 2. Address: Residence address of the applicant.
• 3. Signature: Legal signature of the applicant confirming the information.
• 4. Household Information: Details about the household members.
• 5. Income Details: Information about the applicant's income sources.

Failing to submit this form may result in a loss of CalFresh benefits. Timely submission is critical to ensure continuous food assistance.

• Loss of Benefits: You risk losing food assistance if the application is not submitted on time.
• Reapplication Process: Late submissions may force you to reapply via the full application, which is more burdensome.
• Financial Strain: Disruption in benefits can lead to increased financial hardship for households.

• 1. To Maintain Eligibility: This form is necessary to maintain your eligibility for benefits.
• 2. To Report Changes: Use this form if you have experienced changes in your income or household.
• 3. For Time-sensitive Recertification: File this form before the end of your certification period.