App Process & CFES
HH Comp
Income
Deductions
Wildcard
100

An application is considered complete when it contains three essential elements.

What is name, address and signature?

100

These individuals must be included in the same CalFresh household if they live together, even if they claim not to purchase and prepare meals together.

Who are restricted household members?

100

When income amounts are not consistent, this method involves adding all checks together and dividing by the number of checks to determine a monthly average.

What is averaging?

100

People with earned income get this percentage deducted from their gross income. Yay work!

What is 20%?

100

Before being approved for CalFresh, applicants must provide this number—or proof they’ve applied for one—for each household member requesting benefits.

What is a Social Security Number (SSN)?

200

This person, designated by the applicant, can act on their behalf to complete an application, use EBT, report changes, and complete forms—but must provide identification.

What is an Authorized Representative (AR)?

200

When allowing the standard deduction, these household members are not considered.

Who are ineligible household members?

200

This is the factor used to convert biweekly income into a monthly amount when calculating the household’s net income.

What is 2.167?

200

All households are eligible for this deduction regardless of income.

What is the standard deduction?

200

These three types of updates can trigger mid-period changes.

What are mandatory reports, voluntary reports, and county-initiated actions?

300
This form is used to request pending verifications from a customer

What is a CW 2200 – Request for Verification?

300

When a sponsored non-citizen opts out of sponsorship deeming, they become this type of household member, which causes income and expenses to be prorated

What is an excluded household member?

300

This is the deduction a self-employed CalFresh applicant can take without providing proof of expenses.

What is the standard 40% deduction?

300

Elderly or disabled household members with verified medical expenses between $35.01 and $185 per month receive this deduction amount.

What is $150?

300

This form is used to determine a student’s eligibility status for CalFresh eligibility purposes and must be imaged to the case file.

What is Form 09-55 (Student Eligibility Worksheet)?

400

Missing verifications can be postponed in order to issue CFES, with the exception of.

What is identity verification?

400

These children can be included or excluded from the CalFresh household, but if included, their income must be counted.

Who are foster care children?

400

Maria receives $800 a month in child support, $500 from part-time babysitting, and $1,200 in unemployment benefits. Only this portion of her income is considered earned for CalFresh purposes.

What is the $500 from babysitting?

400

Unlike other households, this group has no maximum limit on the shelter deduction amount.

Who are elderly or disabled household members?

400

A household submits their CalFresh renewal form on time but fails to complete their interview by the end of their certification period. The county must take this action.

What is deny for failure to complete the recertification process?

500

Determine CFES Eligibility: Households’ monthly income is $1600 monthly. They have a savings account of $50, and cash on hand $40. Customer pays $2,800 in rent with utilities included.

What is CFES Eligible?

Income and resources are less than Housing and Utilities

500

Determine if Janet qualifies as a separate HH: Janet (43) and her daughter Samantha (22) live together. They do not purchase and prepare meals together.

What is yes, they qualify as a separate HH.

500

Jason was paid $420, $380, and $400 over the past three weekly pay periods. Based on CalFresh rules, this is his factored monthly income using the correct multiplier.

What is $1,720?

$420 + $380 + $400 = $1,200 

1200 ÷ 3 = $400 average × 4.3 = $1,720 monthly

500

Maria pays $500/month to a friend to care for her 7 y/o child while she works. How much is the dependent care deduction? 

What is $500.

500

If a sponsored non-citizen household’s income plus cash contributions and in-kind support is below this percent of the FPL, the household is considered indigent, and the county must notify USCIS using this form.

What is 130% of the FPL and Form 09-99?

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