Form CF478 Disqualification Consent Agreement (CalFresh Program) - California

Form CF478 Disqualification Consent Agreement (CalFresh Program) - California

What Is Form CF478?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form CF478?A: Form CF478 is a Disqualification Consent Agreement for the CalFresh program in California.

Q: What is the CalFresh program?A: The CalFresh program is California's version of the Supplemental Nutrition Assistance Program (SNAP), which provides nutrition assistance to low-income individuals and families.

Q: What is a Disqualification Consent Agreement?A: A Disqualification Consent Agreement is a form that individuals sign in which they agree to a period of disqualification from receiving CalFresh benefits due to certain violations or non-compliance with program requirements.

Q: Who needs to fill out Form CF478?A: Form CF478 needs to be filled out by individuals who have been notified of their disqualification from the CalFresh program and choose to voluntarily agree to the disqualification.

Q: What happens if I don't sign the Disqualification Consent Agreement?A: If you choose not to sign the Disqualification Consent Agreement, your case will proceed to an administrative hearing where a decision will be made regarding your disqualification.

Q: How long does the disqualification period last?A: The length of the disqualification period depends on the specific violation or non-compliance with program requirements. It can range from a few months to several years.

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Form Details:

  • Released on February 1, 2014;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CF478 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Social Services.

Download Form CF478 Disqualification Consent Agreement (CalFresh Program) - California

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