Form Cf 388 Calfreshnotice Of Restoration Approval
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1
2STATE OF CALIFORNIA
COUNTY OF
HEALTH AND HUMAN SERVICES AGENCY
CALFRESH
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Notice Date :
NOTICE OF RESTORATION APPROVAL
Case
Name
:
Number
:
Worker
Name
:
Number
:
Telephone :
Address :
(ADDRESSEE)
Questions? Ask your Worker.
State Hearing: If you think this
action is wrong, you can ask for a
hearing. The back of this page tells
how. Your benefits may not be
changed if you ask for a hearing
before this action takes place.
YOUR CALFRESH BENEFITS HAVE BEEN RESTORED EFFECTIVE ________________________. This is the date we got the needed
information to restore your benefits. Your certification remains the same and ends on________________________ .
If nothing changes you will get:
$__________ for _________________________ for ____________ people.
$__________ for _________________________ for ____________ people.
$__________ for _________________________ for ____________ people.
COMMENTS:
Rules:
These rules apply: ACL #10-32
You may review them at your welfare office.
CF 388 (8/13) REQUIRED FORM-SUBSTITUTE PERMITTED
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Parent category: Legal