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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COUNTY OF CALFRESH OVERISSUANCE NOTICE FOR INADVERTENT HOUSEHOLD ERRORS ONLY Notice Date Case Name : Number.

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How to fill out the Calfresh Overissuance Notice online

Filling out the Calfresh Overissuance Notice is an essential step for individuals who have received excess Calfresh benefits due to inadvertent household errors. This guide will provide comprehensive instructions on how to complete the form online to ensure clarity and understanding in the process.

Follow the steps to successfully complete the Calfresh Overissuance Notice online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Carefully review the notice date and case number sections. Fill in your specific notice date indicated on the notice and ensure your case number is accurately entered.
  3. In the area labeled 'worker name and number', provide the name and contact number of the worker handling your case. This information is crucial for any follow-up inquiries.
  4. Enter your address details in the designated fields ensuring accuracy. This helps in maintaining correct records and receiving any further communications promptly.
  5. Read the summary of the overissuance carefully. It outlines the amount of extra Calfresh benefits issued and the period it covers. Make sure to verify these figures against your records.
  6. If you agree with the overissuance, fill out the repayment agreement (DFA 377.7C) form as instructed in the notice. This step is important for establishing how you will pay back the excess benefits.
  7. If you believe there has been an error, locate the section regarding your right to request a hearing and provide your reasoning in the appropriate fields. This is essential if you wish to challenge the decision.
  8. Once all necessary fields are accurately completed, review your entries for any mistakes. Correct any errors to ensure that your submission is precise.
  9. Save changes to the form, then download or print it for your records. You may also share it with other parties as needed for your situation.

Complete your Calfresh Overissuance Notice online today to ensure your rights are protected.

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In California, most households have a 12-month certification period. Some household with elderly or disabled members have a 24 month certification period. Households that only have elderly and/or disabled members and no earned income are certified for 36 months. [See Elderly Simplified Application Process.]

You must turn in this recertification application and be interviewed before the end of your certification period to continue receiving CalFresh. In many counties, you can complete this recertification application online. To see if you can do this in your county, go to http://.benefitscal.org/.

If the person does not agree to do voluntary repayments, he can be sued or be subject to the intercept programs described below. [MPP §§ 20-403.1, 20-403.2.] If the household agrees to a payment plan, he must make the payments on time. If the person misses a payment, the CalFresh office may renegotiate a plan.

CalFresh Info Line 1-877-847-3663.

For issues or complaints involving your case, or for other questions, please send an e-mail to Public Inquiry and Response piar@dss.ca.gov or contact them by phone at 1-800-952-5253. If you are asking a question please include enough information for us to contact you and follow up.

You can find your case number on your EBT card. If your card looks like this, type in the first nine numbers. You can also find your case number on any CalFresh notices your county has sent you.

Call customer service right away at (877) 328-9677.

EBT in California is run by the California Department of Social Services (CDSS) with technical support through the Office of System Integration (OSI).

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