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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES AFRESH BUDGET WORKSHEET Special Medical/Shelter Deductions CASE NAME CERTIFICATION PERIOD CASE NUMBER
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How to fill out calfresh budget worksheet form

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How to Fill Out CalFresh Budget Worksheet:

01
Start by gathering all relevant financial information such as income statements, bank statements, and bills.
02
Begin filling out the worksheet by entering your household size and the names and Social Security numbers of all household members.
03
Enter the income for each household member in the appropriate section of the worksheet. This includes wages, self-employment income, Social Security benefits, and any other sources of income.
04
Deduct allowable expenses such as child support payments, dependent care expenses, and medical expenses. These deductions will help determine your net income.
05
Calculate your total net income by subtracting the allowable deductions from your total income.
06
Move on to the expense portion of the worksheet. Start with shelter costs, such as rent or mortgage payments, property taxes, and homeowner's insurance.
07
List your utility expenses, including electricity, heating, water, and phone bills.
08
Include any transportation costs, such as car payments, gas, insurance, and public transportation expenses.
09
Add other necessary expenses, such as child support paid, child or elder care costs, and medical expenses not covered by insurance.
10
Subtract any allowable deductions, such as child or dependent care costs, medical expenses, and shelter and utility allowances.
11
Calculate your total allowable deductions by subtracting the deductions from your total expenses.
12
Determine your countable monthly income by subtracting the total allowable deductions from your total net income.
13
Finally, compare your countable monthly income to the CalFresh income limits to see if you are eligible for benefits.

Who Needs CalFresh Budget Worksheet:

01
Individuals or households applying for CalFresh benefits need the CalFresh budget worksheet.
02
Those who want to determine if they meet the income eligibility requirements for CalFresh can use the worksheet as a tool.
03
Recipients of CalFresh benefits may also need the budget worksheet to report changes in income or expenses to determine ongoing eligibility.

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CalFresh Budget Worksheet is a form used to determine the amount of benefits an individual or household is eligible to receive from the CalFresh program.
Individuals or households applying for or receiving benefits from the CalFresh program are required to file the CalFresh Budget Worksheet.
The CalFresh Budget Worksheet can be filled out by providing accurate information about income, expenses, household members, and other relevant details.
The purpose of the CalFresh Budget Worksheet is to determine the eligibility and benefit amount for individuals or households applying for the CalFresh program.
Information such as income, expenses, household members, assets, and other financial details must be reported on the CalFresh Budget Worksheet.
The deadline to file the CalFresh Budget Worksheet in 2023 may vary based on the individual's or household's application date. It is recommended to check with the relevant authority for the exact deadline.
The penalty for late filing of the CalFresh Budget Worksheet may result in delayed benefits or suspension of benefits until the worksheet is submitted.
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