Fillable C ALFRESH REQUEST FOR CONTACT (California)

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C ALFRESH REQUEST FOR CONTACT (California)

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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
C
ALFRESH REQUEST FOR CONTACT
•
•
Worker: Phone:
CF 32 (6/13) REQUIRED FORM - SUBSTITUTE PERMITTED
We recently received information about a change in your household. In order for us to make sure you can still get CalFresh benefits,
we need the following:
We need you to contact us by
___________________
to provide the information/documentations requested above.
If you do not contact us by this date, your CalFresh benefits may be reduced or stopped.
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C ALFRESH REQUEST FOR CONTACT (California)

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Completed 13 March 2021

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