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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Proof of identity driver’s license, etc.

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

Not put your money or possessions in someone else’s name in order to be able to get Calfressh benefits. You will receive an appointment by mail for an interview by phone or you may ask to complete your interview in person, or You can fax the completed, signed application form to Failure to give full and correct information is punishable by law.

Using CalFresh will not affect your immigration status or the immigration status of your family. Promptly report changes in household circumstances to your worker. The following are examples of what to bring: Sign your name to certify, under penalty of perjury, that all your answers are true. Not sell, trade, or give away your CalFresh benefits, or any CalFresh cards or documents. Buy more healthy foods. Select or go to the following link: 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 Child Protective Services Statistics.


County of Los Angeles DPSS – Semi-Annual Reporting

Your application starts the day the county receives your signed application form. Receive your CalFresh benefits or be notified that you are not eligible for the program within 30 days after you turn in your application.

Social Security Numbers for all household members. Have a fair hearing if you disagree with any action taken on your case. CalFresh benefits may be used only for the purchase of food to be prepared at cxlfresh, certain prepared foods, or for seeds to grow your own food. Unless exempted for some reason, all adults must be involved in job search activities.

Use CalFresh benefits only to buy eligible items. Leave your name and address and the application form will be mailed to you with a return envelope.

Mail the completed, signed application forms in the envelope. For CalFresh benefits within three 3 days if you are eligible and have little or no money. Receive an application when you ask for it and turn in your application the same day you receive it.


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

Los Angeles County Department of Public Social Services

Eat at cxlfresh 5 servings of fruits and vegetables every day. Computer matches reveal data regarding payroll records, noncitizen status, property and social security. Stay healthy by eating nutritious foods. At the time of your interview, please bring verification with fork of your income and expenses. Stretch their food budget to buy food for the whole family. The CAT phone number is Buy more fruits and vegetables year round for their family.

Report all income, household composition, citizenship and other required data. Benefits ca,fresh available on a staggered schedule, one-tenth of CalFresh households receive them on the first working day of the month, the next tenth on the second working day, and so on for the first 10 working days of each month.

Answer all questions completely and honestly when you apply for CalFresh benefits. If employed, proof of income wage stubs, earning statements, etc. If you need assistance in obtaining this information, please discuss this with your CalFresh worker at the time of the interview.