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Get Notice Of Administrative Disqualification - California ...
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How to fill out the NOTICE OF ADMINISTRATIVE DISQUALIFICATION - California online
Filling out the Notice of Administrative Disqualification form is essential for understanding the consequences of disqualification from the CalFresh program. This guide provides clear, step-by-step instructions to ensure users can successfully complete the form online.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the notice date, case name, and case number at the top of the form. Ensure these details are accurate as they reference your specific case.
- Next, fill in your worker's name and number, along with their telephone and address. This information helps direct any inquiries you may have regarding your case.
- In the section titled 'DISQUALIFICATION ACTION,' indicate the reason for your disqualification by selecting from the provided options. Make sure to provide the necessary dates next to the corresponding options.
- Review the penalties associated with your disqualification. Clearly denote the duration for which you are disqualified and ensure this aligns with what is detailed on the form.
- If you wish to request a hearing, fill out the 'HEARING REQUEST' section, indicating the reasons for your appeal along with your details as the person whose benefits were affected.
- After reviewing all entered information for accuracy, you can save your changes, download, print, or share the completed form as needed.
Complete your forms online to ensure a smooth and efficient process.
DISQUALIFICATION PENALTY If you are found guilty of having traded or sold CalFresh benefits worth $500 or more, you can be disqualified forever. If you are found to have filed more than one application at the same time and have given false identification or residence information, you can be disqualified for ten years.
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