QR 7A (403) REQUIRED FORM - SUBSTITUTES PERMITTED all business - dpss lacounty 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information at the top of the form, including your name, address, and contact details. Ensure accuracy as this information is crucial for processing your report.
  3. In Part 1, answer questions regarding any earnings or financial changes during the report month. Be thorough and attach proof such as pay stubs or bank statements where required.
  4. Proceed to Part 2, where you will report on household changes. List any new members in your home and provide details about their relationship to you and any relevant dates.
  5. In Part 3, indicate expected changes in income or expenses over the next three months. This helps assess future eligibility for benefits.
  6. Finally, review all sections for completeness. Sign and date the form after the last day of the report month to ensure compliance.

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The Quarterly Eligibility/Status Report QR 7, also known as the QR 7 is a form all recipients of CalWORKs (cash aid) and some food stamp households must complete, sign and send to the County, along with verifications, every quarter in order to maintain eligibility to CalWORKs and/or Food Stamps.
The Eligibility Status Report, also known as the SAR 7, is a report form that some CalWORKs (cash aid) and CalFresh households must complete, sign and send to the County, once a year. Benefits may be discontinued if verification of the information reported on the SAR 7 is not provided.