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.

Author: Yokora Kishicage
Country: Kosovo
Language: English (Spanish)
Genre: Photos
Published (Last): 26 May 2009
Pages: 334
PDF File Size: 8.94 Mb
ePub File Size: 8.52 Mb
ISBN: 510-8-62024-264-1
Downloads: 81710
Price: Free* [*Free Regsitration Required]
Uploader: Tozragore

If employed, proof of income wage stubs, earning statements, etc.

Select or go to the following link: Not put your money or possessions in someone else’s name in order foem be able to get CalFresh benefits. Computer matches reveal data regarding payroll records, noncitizen status, property and social security. Use CalFresh benefits only to buy eligible items. Not sell, trade, or give away your CalFresh benefits, or any CalFresh cards or documents. Stay healthy by eating nutritious foods.

Los Angeles County Department of Public Social Services

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 on for the first 10 working days of each month.


If you need assistance in obtaining this information, please discuss this with your CalFresh worker at the time of the interview. Buy more healthy foods. Failure to give full and correct information is punishable by law.

County of Los Angeles DPSS – Semi-Annual Reporting

Your application starts the day the county receives your signed application form. Receive CalFresh benefits within three 3 days if you are eligible and have little or no money. Social Security Numbers for all household members. Unless exempted for some reason, all adults must be involved valfresh job search activities.

You will receive 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 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 Have a fair hearing if you disagree with any action taken on your case.

Your application starts the day calffresh county receives your signed application.

Buy more fruits and vegetables year round for their family. Report all income, household composition, citizenship and other required data. Receive your CalFresh benefits or be notified that you are not eligible for the program within 30 days after you turn in your application. Mail the completed, signed calfresb forms in the envelope.


Proof of identity driver’s license, etc. Using CalFresh will not affect your immigration status or the immigration status of your family.

Child Protective Services Statistics. Sign your name to certify, under penalty of perjury, that all your answers are true. The following are examples of what to bring: Receive an application when you ask for it and turn in your caldresh the same day you receive it.

At the time of your interview, please bring verification with you of your income and expenses. Eat at least 5 servings of fruits and vegetables every day. Leave your name and address and the application form will be mailed to you with a return envelope.

CalFresh benefits may be used only for the purchase of food gorm be prepared at home, certain prepared foods, or for seeds to grow your own food. The CAT phone number is Answer all questions completely and honestly when you apply for CalFresh benefits. Stretch their food budget to buy food for the whole family. Promptly report changes in household circumstances to your worker.