Fillable California Food Stamp Application printable pdf download

California Food Stamp Application

Download a blank fillable California Food Stamp Application in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete California Food Stamp Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY

DEPARTMENT OF SOCIAL SERVICES

Application For

Food Stamp Benefits

Providing Nutritional

Assistance to All Ages

Follow these simple steps to apply for food stamp benefits.

Note: If you have a disability or need help completing this

application, please let a worker know and someone will help

you.

Step 1: Fill out as much of this application as you can, sign on

page 1, and return it to the local food stamp office. We need at

least your name, address and signature.

If you are without

money for food, you may be able to get emergency food

stamp benefits in three (3) days.You need to answer all

checked (✔) questions on all pages.

Step 2: You will be scheduled for an interview with a food

stamp worker who will go over this application with you and will

ask you more questions to complete the application process.

Step 3: You must bring proof of identification and income to your

interview. You should bring other items as well, such as rent

receipts, utility bills, or paycheck stubs. If you do not report and

provide proof of expenses, no deduction from your income will

be allowed for those expenses.

Important Information for Immigrants

➤

You can apply for and get food stamp benefits for eligible family members, even if

your family includes other members who are not eligible because of immigration

status. For example, immigrant parents may apply for food stamp benefits for their

U.S. citizen or qualified immigrant children, even though the parents may not be

eligible for benefits.

➤

You do not have to provide immigration status information, social security numbers,

or documents for any family members who are not eligible for food stamp benefits

because of immigration status and who are not asking for food stamp benefits.

➤

Using food stamp benefits will not affect your immigration status or the immigration

status of your family. Immigration information is private and confidential.

DFA 285 A1 (4/09)

California Food Stamp Application

Related Articles

Related forms

Related Categories