Forms and Brochures

Forms and Notices

• CF 1 (10/14) - Notice To All CalFresh Recipients - Important Please Read
• CF 10 (12/13) - Dependent Care Cost Affidavit
• CF 11 (8/15) ENG/SP - Notice To All CalFresh Recipients Important - Please Read
• CF 18 ENG/SP (2/14) - Important Information
• CF 20 (2/14) - You Do Not Owe Anything For Receiving CalFresh Benefits
• CF 21 (3/14) - Release Form
• CF 24 (7/12) - CalFresh Program Request For Policy/Regulation Interpretation 
• CF 28 Coversheet (2/14) - CalFresh Program Restricted Account Coversheet - Important To Know
• CF 28A (2/14) - CalFresh Program Restricted Account Agreement Part A
• CF 28B (2/14) - CalFresh Program Restricted Accounting Agreement part B
• CF 29 (10/13) - CalFresh Recertification Appointment Letter
• CF 29A (2/14) - CalFresh Initial Appointment Letter
• CF 29B (2/14) - CalFresh Initial On-Demand Appointment Letter
• CF 29C (2/14) - CalFresh Recertification Appointment Letter
• CF 29D (2/14) - CalFresh Recertification On-Demand Appointment Letter
• CF 31 (4/15) - CalFresh Supplemental Form For Special Medical Deductions
• CF 32 (6/13) - CalFresh Request For Contact
• CF 37 (7/15) - Recertification For CalFresh Benefits
• CF 215 (9/14) - CalFresh Notification Of Inter-County Transfer 
• CF 286 SAR (12/15) - CalFresh Budget Worksheet/Semi-Annual Reporting Households
• CF 303 (2/14) - Replacement Affidavit/Authorization
• CF 377.1 (9/15) - Notice Of Approval For CalFresh Benefits
• CF 377.2 (10/13) - CalFresh Notice Of Expiration Of Certification
• CF 377.2A (12/13) - CalFresh Notice Of Expiration Of Certification For Households In Which All Adults Are Elderly Or Disabled
• CF 377.2A1 (4/14) - Important Information For Households In Which All Adults Are Elderly Or Disabled With No Earned Income
• CF 377.4 SAR (6/13) - CalFresh Notice Of Change For Semi-Annual Reporting Households
• CF 377.4A (2/14) - CalFresh Notice Of Change (Non-Citizen)
• CF 377.4 CR (1/14) - CalFresh Notice Of Change For Change Reporting Households
• CF 377.5 CR (11/13) - CalFresh Household Change Report
• CF 377.5 SAR (9/13) - CalFresh Mid-Certification Period Status Report
• CF 377.6 (8/13) - Information/Verification Needed
• CF 377.7A (2/14) - Notice Of Administrative Disqualification
• CF 377.7A1 (2/14) - Request For Restoration Of CalFresh Benefits After Administrative Disqualification 
• CF 377.7B (2/14) - CalFresh Overissuance Notice For Inadvertent Household Errors (IHE) Only
• CF 377.7B1 (2/14) - CalFresh Repayment Notice For Inadvertent Household Errors Only Final Notice
• CF 377.7C (2/14) - CalFresh Repayment Agreement For Inadvertent Household Errors Only
• CF 377.7D (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D1 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D3 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE)
• CF 377.7E1 (1/14) - CalFresh Repayment Agreement For Administrative Errors Only
• CF 377.9 (2/14) - Notice Of Back CalFresh Benefits
• CF 385 (10/15) - Application For Disaster CalFresh
• CF 386 (2/14) - CalFresh Notice Of Missed Interview
• CF 387 (5/14) - CalFresh Request For Information
• CF 388 (8/13) - CalFresh Notice Of Restoration Approval
• CF 389 (2/14) - Notice Of Denial Of Restoration
• CF 478 (2/14) - Disqualification Consent Agreement CalFresh Program
• CF 842 (2/14) - Claim Determination Worksheet
• CF 1239 (5/13) - CalFresh Notice Of Approval/Denial/Termination Transitional Benefits

Brochures and Flyers

• CalFresh Style Guide- How to use our new CalFresh Logo
• CalFresh Logos (in multiple file formats)
• CalFresh General Market Brochure (English) (Spanish) (Hmong) (Chinese)
• CalFresh General Market Mini-Flyer (English and Spanish)
• CalFresh Seniors Mini-Flyer (English and Spanish)
• CalFresh General Market Poster (English and Spanish)
• CalFresh Guidelines Insert for Brochures (English) (Spanish) (Hmong) (Chinese)