Recertification Forms

[63-300.2]

The forms below must be used to complete a CalFresh Recertification.

The series of application forms that are used are based on:

  • The type of CalFresh household
  • Whether the interview is to be conducted face-to-face or over the telephone

Primary Application Forms

CalFresh only cases:

  • Recertification for CalFresh Benefits (CF 37)

CalFresh and CalWORKs or GA or Medi-Cal combo cases:

  • Application for CalFresh, Cash Aid, and/or Medi-Cal/Health Care Programs (SAWS 2 Plus), and
  • Rights and Responsibilities and Other Important Information (SAWS 2A SAR)

Additional Required Forms

  • Appointment Letter (GEN 102) or CalFresh Recertification Appointment Letter (CF 29),
  • Would You Like to Register to Vote (SCD 508)
  • Demographic Questionnaire (CW 2223)
  • Eligibility Status Report (SAR 7)-Not needed for ESAP Recertification Packet
  • SAR 7 Eligibility Status Report Instructions (SAR 7A)-Not needed for ESAP Recertification Packet
  • Your Rights Under California Law (PUB 13)
  • Family Planning (PUB 275)
  • California Electronic Benefit Transfer (EBT) Card (PUB 388)
  • Additional Information about Electronic Benefit Transfer (EBT)(TEMP 2214)
  • Electronic Notification Agreement (NA 1273)
  • How to Report Household Changes (CF 23 SAR), 
  • Notice of Language Services (GEN 1365).

CalFresh Household Specific Notices

Regular CalFresh Household

  • CalFresh Notice of Expiration of Certification (CF 377.2)

ESAP Household

  • CalFresh Notice of Expiration of Certification for Households with only Elderly and/or Disabled Members (CF 377.2B).

CalFresh Recertification Packets

For the complete list of Recertification packets, refer to the Renewal Information and Supplemental Packet page.

Note: When recertification is processed by paper application, benefits must not be interrupted if forms are returned, except for the application for Recertification (i.e., CF 37).

If a valid application is on file at intake or redetermination (RD) for a CalWORKs/CalFresh combo case, and the SAWS 2 Plus/Statement of Facts (SOF) is signed to meet CalWORKs requirements (such as due to incomplete or incorrect information on the application being corrected), the presence of an additional signature in a combo case is not considered a duplicate signature for CalFresh. Although CalFresh is a single‑signature program, an additional signature collected in a combo case is treated solely as a CalWORKs requirement. The reason for the additional signature must be clearly documented that the second signature is required only for CalWORKs, not for CalFresh.