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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES CALFRESH RECERTIFICATION APPOINTMENT LETTER • • • • Date Case Number Worker Name Worker Number Worker Telephone Address : : : : : : You were notified that your CalFresh certification period ends on _____________________ and that you would get an MM/DD/CCYY appointment to keep getting CalFresh benefits. ■ You have a face-to-face CalFresh recertification interview appointment on:___________________________ MM/DD/CCYY APPOINTMENT DATE: APPOINTMENT TIME: COUNTY OFFICE NAME COUNTY OFFICE ADDRESS CITY: STATE ZIP CODE ■ You have a telephone CalFresh recertification interview appointment. If you prefer to be interviewed in person, please call your worker at the number above for an appointment. The county will call you for your telephone appointment on:___________________________ MM/DD/CCYY APPOINTMENT DATE: APPOINTMENT TIME: YOUR PHONE NUMBER: We will call you at the number above. If the number is not correct, you must call us and provide a number where you can be reached for your interview. It is very important that we are able to reach you. You may also want to provide an alternative phone number where you can be reached. County phone numbers may be blocked. If your phone does not accept blocked numbers, you may miss the phone call for your telephone interview, and your benefits may be delayed. You will have to reschedule your interview. Call your worker at the number above or go to the above office to reschedule your interview. IMPORTANT REMINDERS Failure to complete this interview may result in a delay or may end your CalFresh benefits. ● ● If you do not keep the scheduled appointment, it is your responsibility to reschedule it. ● To change your appointment, please contact your worker. ● Required verification must be turned in within 10 days of your worker asking for it. Please tell your worker if you need help getting this information. Your worker can help you get it. ● If you file Quarterly Reports, you must turn in a completed Quarterly Report (QR 7) by no later than the 11th of the month in which it is due to avoid a possible delay in benefits. COMMENTS: FS 29 (10/11) REQUIRED FORM - SUBSTITUTE PERMITTED