Get Cf 377.4a (2/14) - Calfresh Notice Of Change (non-citizen) - Dss Cahwnet

Filling out the CF 377.4A form is a crucial step for individuals affected by changes in their CalFresh benefits. This guide provides clear and supportive instructions to help users navigate the process online, ensuring that all necessary information is accurately completed.

Follow the steps to fill out the CF 377.4A form effectively.

1. Click the ‘Get Form’ button to access the form online and open it in your editor for filling.
2. In the designated fields, enter the notice date and the name of the county where you receive services. Ensure that the information is accurate and up to date.
3. Provide your case number, worker name, and their telephone number in the respective sections. This information helps identify your case and enables better communication with your worker.
4. Fill in your current address, including the street address, city, state, and zip code. This helps ensure that you receive any necessary correspondence regarding your benefits.
5. If you have any questions or need more information about the changes, you are encouraged to contact your worker using the provided contact information.
6. Review the section regarding the changes in benefits or termination. Fill in the effective date and the changed amount of benefits as applicable.
7. If your benefits are terminated, indicate the reasons clearly, referencing the eligibility status of non-citizens in your household.
8. Should you need to request a hearing regarding this notice, fill out the hearing request section at the end of the form. Provide your reasoning and any relevant details.
9. Complete the personal details for the person whose benefits were affected, including their name, birth date, and signature. Ensure that the information is accurate.
10. Once all fields are filled, save your changes. You may choose to download, print, or share the completed form according to your needs.

Complete the CF 377.4A form online today to ensure your benefits are properly managed.