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Payment Information and Forms

Universal Benefits Application (English)

Universal Benefits Application Form (English)

Universal Benefits Application (Spanish)

Universal Benefits Application Form (Spanish)

 

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The COVID-19 pandemic has hurt many families in our community. If you have
recently lost income, you may be eligible for CalFresh. CalFresh benefits are uploaded
to an Electronic Benefits Transfer (EBT) card and can be used to purchase food at
places like grocery stores and farmers markets. Applying for CalFresh is confidential.
Apply at www.BenefitsCal.com or call 2-1-1.

La pandemia de COVID -19 afectó a muchas familias en nuestra comunidad. Si perdió
ingresos recientemente, puede que cualifique para CalFresh. Todos los beneficios de
CalFresh se cargan en una tarjeta de Transferencia Electrónica de Beneficios (EBT) que se
puede usar en lugares como supermercados y mercados de agricultores. La solicitud de
CalFresh es confidencial. Solicítela en www.BenefitsCal.com o llamando al 2-1-1.

 

Nondiscrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the state or local agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027External link opens in new window or tab. (PDF), found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-632-9992. Submit your completed form or letter to USDA by:

  1. mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW, Mail Stop 9410
    Washington, D.C. 20250-9410;
     
  2. fax:
    202-690-7442; or
     
  3. email:
    Program.Intake@usda.gov.

This institution is an equal opportunity provider.

4/17/2025