Form Cf 37 - Recertification For Calfresh Benefits Page 2
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11STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
What happens after my recertification is approved?
If you reapply timely and get recertified before your certification period ends, you will continue to
receive benefits on your Electronic Benefit Transfer (EBT) card. Continue to use your EBT card and the
same Personal Identification Number (PIN) to buy food. If your EBT card is lost, stolen or destroyed,
call (877) 328-9677 or the County right away. For a list of locations near you that accept EBT please
go to:
https://
or https://
Rights and Responsibilities
● Give the County all information needed to determine your eligibility.
You have a responsibility to:
● Give the County proof of the information you gave when it is needed.
● Report changes as required. The County will give you information about what, when, and how to
report. If you don’t meet your household’s reporting requirements your CalFresh benefits may be
● Look for, get, and keep a job or participate in other work-related activities if the County tells you
lowered or stopped.
● Fully cooperate with county, state, or federal personnel if your case is selected for review or
that it is required in your case.
investigation to ensure that your eligibility and benefit level were correctly figured. Failure to
● Pay back any benefits that you were not eligible to get.
cooperate in these reviews could result in loss of your benefits.
● Turn in an application for CalFresh giving only your name, address, and signature.
You have the right to:
● Have an interpreter provided by the County at no cost if you need one.
● Have information given to the County kept confidential, unless directly related to the administration
● Withdraw your application at any time prior to the County determining eligibility.
of County programs.
● Ask for help to fill out your application for CalFresh and get an explanation of the rules.
● Ask for help to get proof that is needed.
● Be treated with courtesy, consideration and respect, and not be discriminated against.
● Be interviewed in a reasonable amount of time by the county when you apply and to have your
● Get at least 10 days to give requested proof to the County that is needed to make a determination
eligibility determined within 30 days.
● Get written notice at least 10 days before the County lowers or stops your CalFresh benefits.
of eligibility.
● Discuss your case with the county and to review your case when you ask to do so.
● Ask for a state hearing within 90 days if you do not agree with the County about any actions taken
● If you ask for a hearing before an action on your CalFresh case takes place, your CalFresh benefits
on your CalFresh case.
● Ask about your hearing rights or for a legal aid referral at the toll-free phone numbers –
will stay the same until the hearing or the end of your certification period, whichever is earlier.
1-800-952- 5253 or for hearing or speech impaired who use TDD, 1-800-952-8349. You may get
● Bring a friend or someone with you to the hearing if you do not want to go alone.
free legal help at your local legal aid or welfare rights office.
● Get assistance from the County to register to vote.
CalFresh Program Rules Page 2 – Please take and keep for your records.
CF 37 (11/16) REQUIRED FORM - NO SUBSTITUTES PERMITTED
PROGRAM RULES PAGE 2 OF 7
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