Note: If your IRT for CalFresh is listed as “N/A”, you are not
required to report income changes for CalFresh until
your next SAR 7 or recertification, whichever comes
first. However, if you have an IRT amount listed for
CalWORKs, you must report when your gross income
goes over that amount.
How to report?
If your total income is over the IRT amount listed above, you
must report this to the County within 10 days. You can
report this information to the County by calling the county or
reporting it in writing.
By “total monthly income” we mean:
[ Any money you get (both earned and unearned).
[ The amount before any deductions are taken out.
(Examples of deductions are: taxes, Social Security
or other retirement contributions,
garnishments, etc.)
What will happen?
[ Your benefits may be lowered or stopped based on
income over your IRT.
[ Your IRT may change when your income changes or
when someone moves in or out of your home.
[ The County will let you know in writing each time
your IRT changes.
[ You also need to report on your SAR 7 all income
you get during the Report Month, even if you
already reported that money.
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
REPORTING CHANGES FOR CASH AID
AND CALFRESH
DATE ISSUED:
CASE NAME:
CASE NUMBER:
WORKER NUMBER:
Penalty for not reporting
If you do not report when your income is more than your
household’s IRT limit you might get more benefits than you
should. You must repay any extra benefits you get. If you
do not report on purpose to try to get more benefits, this is
fraud, and you may be charged with a crime and/or may
no longer get CalFresh for a period of time or life.
If you get Cash Aid, you MUST ALSO
report the things
below within 10 days of when they happen:
1. Anytime someone joins, or is in your household,
who has been found by a court of law to be in
violation of a condition of probation or parole.
2. Anytime someone joins, or is in your household,
who is running from the law (has a warrant out
for their arrest).
3. Anytime you have an address change.
If you get CalFresh, you MUST ALSO
report the
following:
● If you are an Able Bodied Adult Without
Dependents (ABAWD), you must report anytime
your work or training hours drop to less than
20 hours a week or 80 hours a month.
Voluntarily reporting information
You may also voluntarily report changes to the County
anytime. Reporting some changes may get you more
benefits. For example:
● Your income stops or goes down.
● Someone with income moves out of your home.
● Someone without income moves into your home.
● Someone in the house becomes pregnant.
● Someone on cash aid has a special need, such
as: a pregnancy, a special diet prescribed by a
doctor, household emergency, etc.
● The birth of a child.
● For CalFresh, if someone disabled or age 60 or
older has new or higher out of pocket medical
costs.
Note: Some changes you report voluntarily may result
in a decrease in your CalFresh benefits.
SAR 2 (1/17) REQUIRED FORM - SUBSTITUTES PERMITTED
Because you get
n
Cash Aid
n
CalFresh, you must
report within 10 days when your TOTAL income reaches
a certain level. You must report anytime your household’s
total monthly income is more than your current Income
Reporting Threshold (IRT).
Benefit Type CalWORKs CalFresh
Family Size
Your Current Income
Your IRT is
