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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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© 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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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