Form Cf 37 - Recertification For Calfresh Benefits Page 3
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11STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
● Report changes that you are not required to report, if it may increase your CalFresh benefits.
● Give proof of your household’s expenses that may help you get more CalFresh benefits. Not giving
proof to the County is the same as saying that you do not have that expense, and you may not be
● Let the County know if you would like someone else to use your CalFresh benefits for your
able to get more CalFresh benefits.
household or help with your CalFresh case (Authorized Representative).
Program Rules and Penalties
You are committing a crime if you give false or wrong information, or do not give all the information on
purpose to try to get CalFresh benefits that you are not eligible to receive, or to help someone else
get benefits that they are not eligible receive. You must pay back any benefits you get that you were
not eligible to receive.
Penalties
Program Violations
I may:
For CalFresh: I understand I may have
committed an intentional program violation
● Hide information or make false statements
● Lose CalFresh benefits for 12 months for the
if I do any of the following:
● Use Electronic Benefit Transfer (EBT) cards
first offense and be required to repay all
● Lose CalFresh benefits for 24 months for the
CalFresh benefits overpaid to me
that belong to someone else or let someone
● Use CalFresh benefits to buy alcohol or
else use my card
second offense and be required to repay all
● Lose CalFresh benefits permanently for the
CalFresh benefits overpaid to me
● Trade, buy, sell, steal or give away CalFresh
tobacco
third offense and be required to repay all
benefits or EBT cards, or attempt to trade,
● Be fined up to $250,000.00, imprisoned up to
CalFresh benefits overpaid to me
buy, sell, steal or give away CalFresh benefits
● Try to get dual benefits, for example, apply in
or EBT cards
20 years or both
two or more different counties or states at the
● Submit false documents for children or adult
same time
household members who are not eligible or
● Violate conditions of my probation or parole
who do not exist
● Flee after a felony conviction
● Purchase (buy) a product with CalFresh
benefits that has a return deposit,
intentionally (on purpose) throw away the
contents and return the container for the
deposit amount or attempt to return the
● Buy a product with CalFresh benefits and
container for the deposit amount
intentionally resell it for cash or anything other
than eligible food
CalFresh Program Rules Page 3 – Please take and keep for your records.
CF 37 (11/16) REQUIRED FORM - NO SUBSTITUTES PERMITTED
PROGRAM RULES PAGE 3 OF 7
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