Form Cf 37 - Recertification For Calfresh Benefits
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11STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
RECERTIFICATION FOR CALFRESH BENEFITS
If you have a disability or need help with the recertification application, let the County Welfare
Department (County) know and someone will help you.
If you prefer to speak, read, or write in a language other than English, the County will get someone to
help you at no cost to you.
How do I keep getting CalFresh?
You must turn in this recertification application and be interviewed before the end of your certification
period to continue receiving CalFresh. In many counties, you can complete this recertification
application online. To see if you can do this in your county, go to
NOTE: If you do not currently have health coverage and are interested in the county using information
from your CalFresh application to check your eligibility for Medi-Cal check the box on question 12, page
3 on the recertification application.
How do I complete the recertification application?
Answer all questions on the recertification application, if you can. You must at least provide your name,
address, and signature to begin your recertification process. Read about your rights and your
responsibilities before you sign this application. Turn in the signed application to the County in
person, by mail, by fax, or on-line.
What do I do next?
The County will send you an interview appointment letter to discuss this application. Most interviews
are done by phone, but can also be done in person at the County office or other place if arranged with
the County. If you need other arrangements because of a disability, let the County know. Your worker
can help you complete this application during the interview if you did not fill out all sections or if you
need to make changes.
What happens at the recertification interview?
During the interview, the County will go over the information on the application and will ask questions
to recertify you for CalFresh and determine your
benefits. To avoid a delay in recertifying, provide proof
of any changes in circumstance at the time of the interview. Examples are change in income; change
in people buying/eating together, change in housing costs, etc. Keep your interview even if you do not
have the proof. The County may be able to help to get the proof needed to recertify.
What happens if I forget to turn in this recertification application?
You must turn in this application before your certification period ends to recertify for CalFresh. If it is
late, you may have an interruption in your benefits. If you turn in this application more than 30 days
past the end of your certification period, you will have to reapply using the full application.
CalFresh Program Rules Page 1 – Please take and keep for your records.
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