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  • Ca Cf 377.5 Cr 2013

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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESCALFRESH HOUSEHOLD CHANGE REPORT (CF 377.5 CR) INSTRUCTIONS: You must report mandatory changes (Questions.

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How to fill out the CA CF 377.5 CR online

The California CalFresh Household Change Report (CA CF 377.5 CR) is essential for reporting mandatory changes in household income and composition. This guide will provide you with a straightforward, step-by-step approach to complete the form online.

Follow the steps to successfully fill out the CA CF 377.5 CR online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with the income changes section. Indicate if there have been changes in unearned or earned income exceeding specified amounts. If applicable, fill out the details by providing proof of earnings, including any attachments needed.
  3. Proceed to the household composition changes section. Report any new individuals moving into or out of your home, changes in relationship status, or any disabilities. Ensure to explain any changes, providing necessary details.
  4. In the resource changes section, disclose any increases in your household's cash or total value of assets. Specify the amounts and list each item to keep the information clear.
  5. Fill out the mandatory ABAWD information if relevant. Enter the adjustment in hours worked or training, and include any necessary explanations regarding these changes.
  6. Next, address any address and shelter cost changes. If your mailing address or phone number has changed, complete the relevant fields. Report any new costs associated with housing and utility bills, including proof if requested.
  7. If applicable, document any legally obligated child support payments for children not living in your household. Provide evidence of these payments and detail any changes.
  8. Complete the sections for dependent care expenses if there have been changes since your last report. Specify the amounts and who covered these costs.
  9. If any household member who is disabled or age 60 or older has new or increased medical expenses, provide these details in the medical expenses section, attaching proof where necessary.
  10. Finally, certify your entries by signing the form along with the date. Ensure all information is true to avoid penalties. Save your changes and proceed to download, print, or share the completed form.

Complete your documents online to ensure timely reporting and maintain eligibility for CalFresh benefits.

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You need to give the county a report about your income, assets and household every 6 months. If you start making more money, you might have to report right away. Income that is over the Income Reporting Threshold (IRT) will trigger a report.

CALWORKS IRT The IRT mandates when the AU is required to make a mid-period report of an increase in income, but the result of such a report is not necessarily discontinuance. Depending on how much income is reported, a report of income over the IRT could result either in a decrease in aid or discontinuance.

YOUR INCOME REPORTING THRESHOLD (IRT)

How do I report changes to my income? If your income has decreased or stopped, you can upload proof of income for the last 30 days through getcalfresh.org/docs. Your county will give you more information about when you have to report increases in income.

Proof Needed to Get More CalFresh Benefits Housing costs (rent receipts, mortgage bills, property tax bill, insurance documents). Phone and utility costs. Medical expenses for anyone in your household who is elderly (60 and older) or disabled.

CalFresh Eligibility Criteria Number of People in HouseholdMaximum Net Income Allowed5$2,7066$3,1007$3,4938$3,8865 more rows

Commonly Used CalFresh Forms 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 they must be signed by the client.

Your family can only get CalWORKs if it has $10,888 or less in resources ($16,333 if the family includes someone with a disability or someone 60 or over). CalWORKs does not count some things as resources: Your home. Household goods (like furniture or appliances)

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232