IN/ES Procedures Overview

Program

Forms

What to look for...

CalWORKs (IN)

“Initial Application for CalFresh, Cash Aid, and/or Medi-Cal/Health Care Programs” (SAWS 1)

Questions with Shopping Cart  or Money Symbol ($) marked in any area.

“Application for CalFresh, Cash Aid, and/or Medi-Cal/State CMSP” (SAWS 2 Plus)

The applicant has answered “Yes” to any of the following questions on page 1 of 18:

• “Are you homeless?”
• “Do you have an eviction notice or a notice to pay rent or quit?”
• “Have your utilities been shut off or do you have a shut-off notice?”
• “Will your food run out in 3 days or less?”
• “Do you need help with transportation to get food, clothing, medical care or other emergency item(s)?”
• “Do you need essential clothing, such as diapers or clothing needed for cold weather?”

“Immediate Need Payment Request” (CW 4)

The applicant has answered “Yes” to any questions from #1–7.

CalFresh (ES)

“Initial Application for Cal-Fresh, Cash Aid, and/or Medi-Cal/Health Care Programs” (SAWS 1)

Questions with Shopping Cart  or Money Symbol ($) marked in any area.

SAWS 2 Plus (If applying for CalWORKs also)

The applicant has answered “Yes” to any of the following questions on page 1 of 18:

• “Are you homeless?”
• “Is your household’s gross income less than $150 and cash on hand, checking and savings accounts $100 or less?”
• “Is your household’s combined gross income and liquid resources less than the combined rent/mortgage and utilities?”
• “Is your household a migrant/seasonal farm worker household with liquid resources not exceeding $100?”

“Application for CalFresh Benefits” (CF-285)

The applicant has answered “Yes” to any of the following questions on page 1 of 10:

• “Are you homeless?”
• “Is your household’s gross income less than $150 and cash on hand, checking and savings accounts $100 or less?”
• “Is your household’s combined gross income and liquid resources less than the combined rent/mortgage and utilities?”
• “Is your household a migrant/seasonal farm worker household with liquid resources not exceeding $100 and either your income stopped or you will not get more than $25 in the next 10 days?”