Form Cf 29d Calfresh Recertification On-Demand Appointment Letter
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1STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CALFRESH RECERTIFICATION ON-DEMAND APPOINTMENT LETTER
Date
:
•
•
Case Number
:
Case Name
:
Worker Name
:
Worker Number
:
Worker Telephone :
Address
:
•
•
You were notified that your CalFresh certification period ends on _____________________. You need an interview to keep
MM/DD/CCYY
getting CalFresh benefits. This is your appointment letter for an on-demand interview.
■ ■
You have a CalFresh recertification on-demand telephone interview. If you prefer to be interviewed in person,
please call the county at the number above for an appointment.
To conduct the on-demand telephone interview, you must call the county between _______________ and
DATE
________________ at: ________________ between _______________and _______________ Monday through Friday.
DATE
TIME
TIME
You must call the county during the county’s normal business hours (provided above), Monday through Friday to conduct
your on-demand interview. County staff is available to take your call. If you do not complete your on-demand telephone
interview within the two week window period (10 business days), you must call the county to reschedule or possibly
complete a face-to-face interview.
■ ■
You have a scheduled CalFresh face-to-face interview. To conduct the face-to-face interview, you must go to the County
office at:
APPOINTMENT DATE:
APPOINTMENT TIME:
COUNTY OFFICE NAME:
COUNTY OFFICE ADDRESS
CITY:
STATE:
ZIP CODE:
IMPORTANT REMINDERS
Failure to complete the interview may result in a delay or may end your CalFresh benefits.
●
If you do not complete your interview within the timeframe listed in this letter, it is your responsibility to reschedule it.
●
To change your appointment, please contact the county.
●
Required verification must be turned in within 10 days of the county asking for it.
●
Please tell the county if you need help getting this information. The county can help you get it.
●
COMMENTS:
CF 29D (2/14) REQUIRED FORM - SUBSTITUTE PERMITTED
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