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COUNTY OF SAN BERNARDINO AFRESH NOTICE OF RESTORATION APPROVAL STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES Notice Date : Case Name : Number Worker
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How to Fill Out CalFresh Notice of Restoration:

01
Obtain the CalFresh Notice of Restoration form from your local county office or download it from their website.
02
Fill out the personal information section, including your name, address, phone number, and case number. Make sure all information is accurate and up-to-date.
03
Indicate the reason for the restoration by checking the appropriate box. Common reasons for restoration include changes in income, household size, or expenses.
04
Provide any necessary documentation to support your claim for restoration. This may include pay stubs, bills, or other proof of changes in circumstances.
05
Complete the declaration section, which usually requires your signature and affirmation that the information provided is true and correct to the best of your knowledge.
06
Review the completed form for any errors or missing information. Make any necessary corrections or additions before submitting it.
07
Submit the filled-out notice of restoration form to your local county office. You can usually do this in person, by mail, or through their online portal.

Who Needs CalFresh Notice of Restoration:

01
Individuals or households currently receiving CalFresh benefits may need to complete a CalFresh Notice of Restoration if they experience changes in their circumstances that could impact their eligibility or benefit amount.
02
Some common situations that may require a notice of restoration include changes in income, household size, expenses, or other relevant factors.
03
It is crucial to determine if your specific changes warrant the completion of a notice of restoration. Consult with your local county office or a CalFresh representative to understand if you need to fill out this form based on your circumstances.
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CalFresh Notice of Restoration is a form that allows eligible individuals to request to have their CalFresh benefits restored.
Individuals who had their CalFresh benefits discontinued or suspended may be required to file a Notice of Restoration.
The CalFresh Notice of Restoration form can be filled out by providing personal information, details about the discontinuation of benefits, and any supporting documentation.
The purpose of the CalFresh Notice of Restoration is to request a review of the termination or suspension of benefits and potentially have them reinstated.
The notice typically requires information such as the individual's name, case number, reasons for the discontinuation of benefits, and any relevant supporting documents.
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CALIFORNIA CALFRESH BERNARDINO ACL ADDRESSEE CF certification RESTORATION

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