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Get CA CF 377.1 2013

Umber : : Telephone : Address (ADDRESSEE) : Questions? Ask your Worker. State Hearing: If you think this action is wrong, you can ask for a hearing. The back of this page tells you how. Your benefits may not be changed if you ask for a hearing before this action takes place. ■ YOUR APPLICATION FOR CALFRESH BENEFITS HAS BEEN APPROVED. Your initial amount of benefits is: $____________ for _____________. Your benefit amount for the rest of your certification period will be $ __________ fr.

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