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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES AFRESH BUDGET WORKSHEET/CHANGE REPORTING HOUSEHOLD CASE NAME CASE NUMBER COMPANION CASE REFERENCE CERTIFICATION
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How to fill out calfresh budget worksheet form

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How to fill out calfresh budget worksheet?

01
Gather all necessary financial information, such as income statements, bills, and receipts.
02
Begin by entering your household's gross monthly income at the top of the worksheet.
03
Deduct any allowable deductions, such as childcare expenses or medical expenses, from your gross income to determine your net monthly income.
04
Proceed to the next section of the worksheet and list your monthly expenses, including rent or mortgage payments, utilities, and groceries.
05
Be thorough in documenting all expenses and ensure they align with the guidelines provided by the calfresh program.
06
Subtract your monthly expenses from your net monthly income to determine your available income for food.
07
Review the calculation and ensure all entries are accurate.
08
Sign and date the calfresh budget worksheet before submitting it to the relevant calfresh program office.

Who needs calfresh budget worksheet?

01
Individuals or families interested in applying for the calfresh program to receive assistance with food expenses.
02
Current calfresh participants who are required to complete a periodic recertification process.
03
Individuals or families who have experienced a change in income or circumstances and need to update their calfresh eligibility.
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Beginning in April 2023, CalFresh recipients will only receive the regular benefit amount the household is eligible for. That amount will be in one single monthly deposit on your EBT card within the first 10 days of each month, as usual.
The Summer 2023 P-EBT is for the period from June through August 2023, and has a set benefit amount of $120. The CDSS will begin mailing Summer P-EBT cards July 16, 2023 through August 30, 2023. These cards will be distinguishable as a P-EBT 4.0 card.
After showing that your income is less than the allowable Gross Income, your Eligibility Worker will allow certain deductions and subtract them from your gross income to determine your adjusted net income that will be used to determine the monthly benefit amount for your household's size.
In 2023 for a household of three, the monthly gross income limit is 2,495 dollars for 130 percent of the Federal Poverty Level, 3,072 dollars at 160 percent, 3,168 dollard at 165 percent, 3,552 at 185 percent, and 3,840 dollars at 200 percent.
Allowable deductions for all CalFresh households include: Earned Income Deduction: 20 percent is deducted from income earned from working, such as salary, wages, and tips. members. Standard deductions are 8.31 percent of the current net income limit for the household size.
Effective October 1, 2022, the SUA is $560. [ACIN I-60-22.] Limited Utility Allowance (LUA): A household that is not eligible for the SUA but has expenses for at least two separate types of utilities (other than heating and cooling) can claim a limited utility allowance (LUA), which is adjusted annually by CDSS.

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The CalFresh budget worksheet is a financial planning tool used by applicants to track their income, expenses, and resources when applying for CalFresh benefits, which provide assistance for purchasing food.
Individuals or households applying for CalFresh benefits are required to fill out the CalFresh budget worksheet to demonstrate their financial situation and eligibility.
To fill out the CalFresh budget worksheet, applicants should gather information about their income, monthly expenses (such as rent, utilities, and childcare), and assets. They need to fill in each section accurately, providing supporting documentation if necessary.
The purpose of the CalFresh budget worksheet is to assess an applicant's financial eligibility for benefits, ensure that resources are allocated appropriately, and facilitate the determination of the benefit amount.
The information that must be reported on the CalFresh budget worksheet includes monthly income, household size, monthly expenses (like housing and utilities), and any resources or assets owned by the applicant.
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