Get Mid-year Status Report - California Department Of Social Services ...

Filling out the Mid-year Status Report is essential for users receiving CalWORKs or CalFresh benefits to report any mandatory or voluntary changes. This guide provides clear, step-by-step instructions to ensure you complete the form accurately online.

Follow the steps to successfully complete your Mid-year Status Report online.

1. Press the ‘Get Form’ button to access the Mid-year Status Report and open it for editing.
2. Begin by entering the recipient’s name in the designated field. Make sure to spell the name correctly as this is crucial for identification.
3. If known, input the case number in the respective area. If you do not have this information, you may leave it blank.
4. You have the option to provide the social security number. Enter it only if you feel comfortable doing so, as it is optional.
5. Review the mandatory information sections. Complete the fields as required, indicating any changes in income, household composition, or address as applicable to your situation.
6. When reporting income changes, detail the total combined income for your household in the specified month. Be prepared to attach proof, such as pay stubs or letters from relevant agencies.
7. For changes in household members, provide the requested information, including the individual’s name, relationship to you, and whether they regularly prepare meals together.
8. If you have moved, fill in your new home and mailing addresses, and update the phone number if necessary. Indicate any changes regarding rent or utilities as applicable.
9. In the voluntary information section, provide any additional information you would like to report, ensuring you maintain clarity.
10. In the certification section, read the declaration carefully. By signing, you confirm that all information presented is truthful. Be aware of the implications of not reporting accurately.
11. Ensure everyone who is required to sign has done so, that includes the head of household or any responsible household member. Fill in dates and contact information as needed.
12. Once you have filled out the form comprehensively, save your changes. Download, print, or share the completed report as needed.

Complete your Mid-year Status Report online today to ensure your benefits continue without interruption.