PLEASE SIGN THE FORM AFTER ______ 1ST AND RETURN IT BY THE 5TH QR 7 (12/08) ELIGIBILITY/STATUS REPORT – QUARTERLY FOR CASH AID. TO KEEP YOUR BENEFITS COMING ON TIME, PLEASE SIGN THE FORM AFTER Medical Costs: If anyone who gets CalFresh and is 60 years old or older. o Am I required to report anything between QR 7 Submit Months? The Quarterly Eligibility/Status Report QR 7, also known as the QR 7 is a form all recipients.

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Failure to give full and correct information is punishable by law. Sign your name to certify, under penalty of perjury, that all your answers are true. Have a fair hearing if you disagree with any action taken on your case. Proof of identity driver’s license, etc.

Answer all questions completely and honestly when you apply for CalFresh benefits. Calfrseh put your money or possessions in someone else’s name in order to be able to get CalFresh benefits.

You will receive an appointment by mail for an interview by phone or you may ask to complete your interview in person, or Apply in person at your local Human Services officeespecially if you need CalFresh benefits right away, or call the CalFresh Application Line at Eat at least 5 servings of fruits and vegetables every day.


Child Protective Services Statistics. Select or go to the following fotm At the time of your interview, please bring verification with you of your income and expenses. Benefits are available on a staggered schedule, one-tenth of CalFresh households receive them on the first working day of the month, the next ar7 on the second working day, and so on for the first 10 working days of each month. Stay healthy by eating nutritious foods. If you need assistance in obtaining this information, please discuss this with your CalFresh worker at the time of the interview.

CalFresh – Kern County Department of Human Services

The CAT phone number is Computer matches reveal data regarding payroll records, noncitizen status, property and social security. Stretch their food budget to buy food for the whole family.

Receive CalFresh benefits within three 3 days if you are eligible and have little or no money. Buy more healthy foods. The following are examples of what to bring: Not sell, trade, or give away your CalFresh benefits, or any CalFresh cards or documents.

Los Angeles County Department of Public Social Services

Your application starts the day the county receives your signed application. Leave your name and address and the application form will be mailed to you with a return envelope. Use CalFresh benefits only to buy eligible items. Using CalFresh will not affect your immigration status or the immigration status of your family. If employed, proof of income wage stubs, earning statements, etc.


Unless exempted for some reason, all adults must be involved in job search activities.

Mail the completed, signed application forms in the envelope. Receive an application when you ask for it and turn in your application the same day you receive it.

County of Los Angeles DPSS – Quarterly Report QR 7-LA

Receive your CalFresh benefits or be notified that you are not eligible for the program within 30 days after you turn in your application. You will receive an appointment by mail for an interview by phone or you may ask to complete your interview in person, for, You can fax the completed, signed application form to Promptly report changes in household circumstances to your worker.

CalFresh benefits may be used only for the purchase of food to be prepared at home, certain prepared foods, or for seeds to grow your own food. Social Security Numbers for all household members. Buy more fruits and vegetables year round for their family. Report all income, household composition, citizenship and other required data.

Your application starts the day the county receives your signed application form.