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CALFRESH HOUSEHOLD CHANGE REPORT (CF 377.5 CR) - cdss ca 2025

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The document is a CalFresh Household Change Report (CF 377.5 CR) from the California Department of Social Services, outlining the mandatory reporting requirements for changes in income, household composition, resources, and other relevant factors affecting eligibility for CalFresh benefits. It specifies that changes must be reported within 10 days and provides detailed instructions on how to report these changes, including sections for income adjustments, household member changes, resource updates, and additional expenses.

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Click ‘Get Form’ to open the CALFRESH HOUSEHOLD CHANGE REPORT in the editor.
Begin with Section 1, 'Income Changes.' Indicate if there have been any changes in your household's income by answering questions A and B. If applicable, provide details in section C, including amounts and sources of income.
Move to Section 2, 'Household Composition Changes.' Answer questions regarding any new members or changes in your household. Provide names and relationships where necessary.
In Section 3, 'Resource Changes,' report if your total cash or assets exceed the specified limits. List each item and its amount.
Continue through Sections 4 to 9, providing information on ABAWD hours, address changes, child support payments, dependent care expenses, medical expenses for eligible members, and any temporary changes.
Finally, review all sections for accuracy before signing the certification at the end of the form. Ensure you understand the implications of misreporting.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does CalFresh consider a household?

Paper documents Paper verification means documents like pay stubs, utility bills, a drivers license or an I.D. card for another benefit program.

How does CalFresh verify household?

Acceptable collateral contacts include employers, landlords, social service agencies, migrant service agencies, and neighbors of the household. The CalFresh office can contact these types of individuals to confirm admissions by the household.

What does CalFresh verify?

SNAP counts cash income from all sources, including earned income (before payroll taxes are deducted) and unearned income such as cash assistance, Social Security, unemployment insurance, and child support.

How do I report changes to food stamps online in California?

For CalFresh and cash aid if you dont meet your households reporting requirements, your case may be closed or your benefits may be lowered or stopped. Look for, get, and keep a job or participate in other activities if the County tells you that it is required in your case.

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