CF Program
HH Comp
Budgeting
Forms
Calculations
100

Case #1762408 has CF benefits post to their EBT card on this day.

8th day of each month

100

Children under age ___ living with their parents cannot be granted CF separately from their parents.

22-years-old

100

The conversion factor used for bi-weekly income.

2.167

100

2 of the 4 application forms a client can complete to apply for CF.

SAWS 1

SAWS 2 Plus

E-Application

CF 285

100

Maxine receives SSD of $1311.  $____ is her RAI.

$1311

200

The two eligibility categories in CalFresh.

Public-Assistance CalFresh (PACF) and Non-Assistance CalFresh (NACF)

200

An _______  _______ is an adult non-household member who is authorized to act on behalf of the household.

authorized representative

200

The standard deduction for self-employment income.

40%

200

If customer signs the application, do they need to also sign the Statement of Facts?

No - only one signature required 

200

John is paid 100 a week. $____ is his RAI.

$433

300

For CalFresh, applicant must be a resident of the _________ in which the application is filed.

County

300

True/False: Foster children must be added to the CF application as part of the household.

False

300

The standard deduction for a household of 3.

$204

300
What is the form used to obtain Consent to Release Information?

KCDHS 694

300

Household is mom, dad and 3 children. Mom's receives $1500/monthly from work study while attending college full time. What is the countable income for the CF budget?

$0 (workstudy income is excluded)

400

The definition of a CalFresh household is people who live in the home and ________________________ their food together.

purchase and prepare

400

**DOUBLE JEOPARDY**

Household is an undocumented mom (age 20), citizen dad (age 22) and 2 citizen children. 1 child receives SSI/SSP. They live with dad's parents but P&P separately. This CF HH size is ___ with ___ eligible members.

HH size = 4 (mom, dad, kids)

eligible members = 3 (dad and kids only)

400

The maximum allowance for shelter.

$712

400

Rights and Responsibilities

KCDHS 3

400

Bob is self-employed and earns $24,000 yearly. He elects the standard deduction. $____ is his monthly RAI.

$1200 

(24,000/12=2000 x 0.4=$800; 2000-800= $1200)

OR

2000 x 0.6= $1200)

500

An NACF household is eligible for Modified Categorical Eligibility (MCE) upon receipt of the ____________.

PUB 275 - Family Planning Brochure

500

HH is mom (age 20), dad (age 20) and 1 child (age 3). Mom is a full time college student. Dad is employed and works 25 hours per week. 

This HH has ___ eligible CF members.

3 (mom is an eligible student because she has a child under age 6)

500

The utility allowances and their amounts.

SUA - $645

LUA - $166

TUA - $19

SUAS - $645(optional)

500

The form number used when discussing client's voter registration preference (NVRA).

KCDHS 37 or NVRA VPF

500

**DOUBLE JEOPARDY**

Household is mom, dad and 2 children (age 15 and 14). Mom receives SSI/SSP of $870 monthly. Dad earns $500 semi-monthly. The 15-year-old earns $100 weekly from babysitting. $___ is the household's countable monthly RAI.

$1870 

Mom: $870 

Dad: 500 x 2= $1000 

870 + 1000 = $1870/total. 

(The 15-year-old's income is exempt)