Form Sar 2 - Reporting Changes For Cash Aid And Calfresh
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1STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
DATE ISSUED:
REPORTING CHANGES FOR CASH AID
CASE NAME:
AND CALFRESH
CASE NUMBER:
WORKER NUMBER:
Penalty for not reporting
Because you get
Cash Aid
CalFresh, you must
report within 10 days when your TOTAL income reaches
If you do not report when your income is more than your
a certain level. You must report anytime your household’s
household’s IRT limit you might get more benefits than you
total monthly income is more than your current Income
should. You must repay any extra benefits you get. If you
Reporting Threshold (IRT).
do not report on purpose to try to get more benefits, this is
fraud, and you may be charged with a crime and/or may
no longer get CalFresh for a period of time or life.
Benefit Type
CalWORKs
CalFresh
Family Size
If you get Cash Aid, you MUST ALSO report the things
below within 10 days of when they happen:
Your Current Income
1. Anytime someone joins, or is in your household,
Your IRT is
who has been found by a court of law to be in
violation of a condition of probation or parole.
Note: If your IRT for CalFresh is listed as “N/A”, you are not
2. Anytime someone joins, or is in your household,
required to report income changes for CalFresh until
who is running from the law (has a warrant out
your next SAR 7 or recertification, whichever comes
for their arrest).
first. However, if you have an IRT amount listed for
CalWORKs, you must report when your gross income
3. Anytime you have an address change.
goes over that amount.
If you get CalFresh, you MUST ALSO report the
How to report?
following:
If your total income is over the IRT amount listed above, you
must report this to the County within 10 days. You can
If you are an Able Bodied Adult Without
G
Dependents (ABAWD), you must report anytime
report this information to the County by calling the county or
your work or training hours drop to less than
reporting it in writing.
20 hours a week or 80 hours a month.
By “total monthly income” we mean:
Voluntarily reporting information
Any money you get (both earned and unearned).
You may also voluntarily report changes to the County
The amount before any deductions are taken out.
anytime. Reporting some changes may get you more
(Examples of deductions are: taxes, Social Security
benefits. For example:
or other retirement contributions,
garnishments, etc.)
Your income stops or goes down.
G
Someone with income moves out of your home.
What will happen?
G
Someone without income moves into your home.
G
Your benefits may be lowered or stopped based on
Someone in the house becomes pregnant.
G
income over your IRT.
Someone on cash aid has a special need, such
G
Your IRT may change when your income changes or
as: a pregnancy, a special diet prescribed by a
when someone moves in or out of your home.
doctor, household emergency, etc.
The County will let you know in writing each time
The birth of a child.
G
your IRT changes.
For CalFresh, if someone disabled or age 60 or
G
older has new or higher out of pocket medical
You also need to report on your SAR 7 all income
costs.
you get during the Report Month, even if you
already reported that money.
Note: Some changes you report voluntarily may result
in a decrease in your CalFresh benefits.
SAR 2 (1/17) REQUIRED FORM - SUBSTITUTES PERMITTED
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