How to Fill Out CF 285

CF 285 at a glance

What it is: Application for CalFresh benefits: a food assistance program to help with the cost of buying food for a household.

Where and when to file: Give the application to the County in person, by mail, by fax, or online. The day the County receives your signed application starts the time to give you an answer on whether you can get benefits.

Who signs: Sign as the applicant, adult household member, authorized representative or guardian, and enter the date.

What to bring and attach to CF 285

To avoid delays, bring proof of the following with you to your interview.

Keep your interview even if you do not have the proof.

Identification (Driver's License, State ID card, passport).

Where you live (a rental agreement, current bill with your address listed).

Social Security Numbers (see the note about certain noncitizens).

Money in the bank for all the people in your household (recent bank statements).

Earned income of everyone in your household for the past 30 days (recent pay stubs, a work statement from an employer).

Unearned income (Unemployment benefits, SSI, Social Security, Veteran's benefits, child support, worker's compensation, school grants or loans, rental income, etc.).

Lawful immigration status ONLY for noncitizens applying for benefits (an Alien Registration Card, visa).

Certain noncitizens applying for immigration status based on domestic violence, crime prosecution or trafficking may not need this proof. They also may not need a Social Security Number.

A filled-in CF 285 example: Maria applies for CalFresh

CF 285 example filled out, example: Maria applies for CalFresh
Maria Sample fills out the CalFresh application. She applies for her household of one and gives her name, address and cell phone number so the County can reach her. The picture shows question 1; its names and figures are sample values. Her home address is also where she gets mail, so Your name, address and Social Security number leaves the mailing address empty. She has no other names and no Social Security number to give, so Your name, address and Social Security number leaves those boxes empty. Maria is not homeless, so Are you homeless? has No ticked and Yes stays empty. Interpreter at no cost is left blank because she reads and speaks English. Optional questions is left blank because she skips the optional questions. She does not want Medi-Cal, so Medi-Cal answers stays empty. Gross income and cash on hand is left blank because she can finish it during the interview.

How to fill out CF 285, box by box

Your name, address and Social Security number

CF 285 example filled out, your name, address and Social Security number

You must at least give the County your name, address, and signature (question 1 on page 1) to begin the application process.

Social Security number (if you have one and are applying for benefits).

Everyone applying for CalFresh benefits needs to provide a SSN, if they have one, or proof that they have applied for a SSN (such as a letter from the Social Security Office).

Mailing address, if different from the home address.

Contact authorization

CF 285 example filled out, contact authorization

Please give the county the best contact information to reach you.

By providing your contact information, you are authorizing the county to contact you by phone, email or text, or to leave a phone message regarding your application.

Are you homeless?

CF 285 example filled out, are you homeless?

Please let the County know right away if you are homeless so they can help you figure out an address to use to accept your application and get notices from the County regarding your case.

Interpreter at no cost

CF 285 example filled out, interpreter at no cost

The County will provide an interpreter at no cost to you.

Optional questions

CF 285 example filled out, optional questions

Do you or anyone in your household have a disability (optional question)?

Do you or anyone in your household need an accommodation due to a disability (optional question)?

Has there been a history of domestic violence/abuse (optional question)?

Medi-Cal answers

CF 285 example filled out, medi-Cal answers

If you answer yes the County will use your answers to find out if you can get Medi-Cal.

Gross income and cash on hand

CF 285 example filled out, gross income and cash on hand

To help the County see if you can get benefits in three days, please answer questions 1, 6 through 8, 11, and 16, and give the County proof of your identify (if you have it) with the application.

Is your household's monthly gross income less than $150 and cash on hand, or in checking and savings accounts is $100 or less? (checked October 22, 2026)

Is your household's combined monthly gross income and cash on hand or in checking and savings accounts less than the combined cost of 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? (checked October 22, 2026)

Signature of applicant

CF 285 example filled out, signature of applicant

Sign as the applicant, adult household member, authorized representative or guardian, and enter the date.

By signing this application under penalty of perjury (making false statements), you understand that your answers to the questions are true and complete to the best of your knowledge.

By signing, you understand that giving false or misleading statements or misrepresenting, hiding or withholding facts to establish eligibility for CalFresh is fraud.

More rules for CF 285

If you have a disability or need help with this application, let the County know and someone will help you.

Fill out the whole application form, if you can.

You must have an interview with the County to discuss your application.

If you did not fill out all of the application, you can finish it during your interview.

You will need to give proof of your income, expenses, and other circumstances to see if you are eligible.

Please use black or blue ink because it is easy to read and copies best.

Please print your answers.

If you need more space to answer a question(s), use page 10 “Additional Writing Space” section and attach additional sheets of paper if needed to provide the information.

Please be sure to identify which question you are writing about in the extra space or on the additional sheets of paper.

Other situations

You may authorize someone to help with your CalFresh benefits

You may authorize someone 18 years or older to help your household with your CalFresh benefits.

This person can also speak for you at the interview, help you complete forms, shop for you, and report changes for you.

You will have to repay any benefits you may get by mistake because of information this person gives the County and any benefits you didn't want them to spend will not be replaced.

A household member is a noncitizen who is not applying

You do not have to give immigration information, Social Security numbers, or documents for any noncitizen family member(s) who are not applying for CalFresh benefits.

The County will need to know their income and resource information to correctly determine your household's benefits.

A household member is self-employed

If self-employed fill out question 8a.

Self-employed household members may deduct actual self-employment expenses or take a standard 40% deduction off of self-employment income.

If you choose actual expenses, you will need to give the County proof of the expenses.

Common questions about CF 285

Is there a deadline?

It may take up to 30 days to process your application. You may be able to get benefits within 3 calendar days, if you meet one of the Expedited Service criteria.

Where do I file it?

Give the application to the County in person, by mail, by fax, or online.

When is this form not the right one?

Use this application if you are applying for CalFresh benefits only.

Sources

[1] Form CF 285 (8/21), Application for CalFresh Benefits, California Department of Social Services (the Official source link on this page).

CF 285 PDF Details

You must at least give the County your name, address, and signature (question 1 on page 1) to begin the application process.

Other programs: if you wish to apply for programs other than CalFresh such as CalWORKs or Medi-Cal, please ask for an application to apply for other programs.

Interview: you must have an interview with the County to discuss your application. Keep your interview even if you do not have the proof.

Processing time: it may take up to 30 days to process your application.

Expedited service: you may be able to get benefits within 3 calendar days, if you meet one of the Expedited Service criteria.

State hearing: ask for a State hearing within 90 days if you do not agree with the County about your CalFresh case.

QuestionAnswer
Form NameCF 285
Full TitleApplication for CalFresh Benefits
Form Length18 pages
Fillable?Yes
Fillable fields538
Avg. time to fill out60+ min
Issuing AgencyCalifornia Department of Social Services (CDSS)
Edition8/21
Issuing agencyCalifornia Department of Social Services
Where to sendThe County, in person, by mail, by fax, or online
Matches the agency's fileYes, checked October 1, 2026
Other namesCF 285, CF285, CF 285 form, Application for CalFresh Benefits, CalFresh application
Official sourceCF 285 (Rev 8/21), California Department of Social Services