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  • Cf 377 7c Form

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Sehold error is later found to be an intentional program violation, penalties will apply even if I pay back what I owe. SIGNATURE DATE COUNTY To be completed by the county: The above signed Agreement has been accepted by on Date for County. Payments should be made at: (Signature of Authorized County Official) CF 377.7C (2/14) REQUIRED FORM - NO SUBSTITUTES PERMITTED.

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Sworn Statement: There is no specific sworn statement form used by the county; however, all sworn statements must include: date, name of the person and/or organization that receives payment, the amount a household is paying or receiving, and an applicant's signature.

These documents are usually required to get CalFresh: A copy of your ID. Proof of any income. Proof of immigration status (for non-citizens). Proof of student status (for college students).

When applying for CalFresh benefits, applicants are required to provide documentation that verifies their income. This documentation can include pay stubs, employment verification letters, bank statements, or tax returns.

The CalFresh office can ask a household to voluntarily pay back any overissuances.

A Zero Income Statement is used by individuals or household members to prove that they had no income and require financial assistance. Include pertinent information like the last four digits of your social security number, contact information, addresses, last known employer, and more.

You can even obtain a Verification of Non-Filing Letter from the IRS. This would simply prove the IRS has no record of filed income tax forms. A written statement that indicates no income can be used; however, it should be accompanied by documents that show no income from the previous year.

1. Lump Sum Payment - You may repay in full the amount owed at one time with cash and/or CalFresh benefits. 2. Benefit Reduction - If you are getting CalFresh benefits now, you may repay by having your household's benefits reduced for all or part of the amount owed.

When a household has zero income at initial application, a statement on the application that it has zero income is sufficient evidence that the household cannot reasonably anticipate income during the certification period. The county must not require verification of zero income unless it is questionable.

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  • intentional
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232