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

Leave your name and address and the application form will be mailed to you with a return envelope. Receive CalFresh benefits within three 3 days if you are eligible and have little or no money. The following are examples of what to bring: If you need assistance in obtaining this information, please discuss this with your CalFresh worker at the time of the interview.

Promptly report changes in household circumstances to your worker.

Proof of identity driver’s license, etc. If employed, proof of income wage stubs, earning statements, etc. You will receive an appointment by mail for fofm interview by phone or you may ask to complete your interview in person, or You can fax the completed, signed application form to Use CalFresh benefits only to buy eligible items.


Benefits are 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. Select or go to the following link: The CAT phone number is Buy more fruits and vegetables year round for their family.

Failure to give full and correct information is punishable by law. 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 form.

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. You will receive an appointment by mail for an interview by phone or you may ask to complete your interview in person, qr Apply in person at your local Human Services officeespecially if you need CalFresh benefits right away, or call the CalFresh Application Line at Stretch their formm budget to buy food for the whole family.

Your application starts the day the county receives your signed application. Mail the completed, signed application forms in the envelope. At the time of your interview, please bring verification with you of your income and expenses.


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. Eat at least 5 servings of fruits and vegetables every day. Not sell, trade, or give away your CalFresh benefits, or any CalFresh cards or documents. Buy more healthy foods. Child Protective Services Statistics.

Social Security Numbers for all household members. Report all income, household composition, citizenship and other required data. Computer matches reveal data regarding payroll records, noncitizen status, property and social security.

Stay healthy by eating nutritious foods. Not put your money or possessions in someone ccalfresh name in order to be able to get CalFresh benefits.

Los Angeles County Department of Public Social Services

Answer all questions completely and honestly when you apply for CalFresh benefits. Unless exempted for some reason, all adults must be involved in job search activities.

Receive your CalFresh benefits or be notified that you are not eligible for the program within 30 days after you turn in your application. Using CalFresh dorm not affect your immigration status or the immigration status of your family.