Form CF-ES 2337 at a glance
What it is: The ACCESS Florida Application is the form you use to apply for help from the Department of Children and Families, by giving just your name, address, and signing your application.
Where and when to file: Submit your signed application at any Department of Children and Families Economic Self-Sufficiency Services office, or mail your application to ACCESS Central Mail Center, P.O. Box 1770, Ocala, FL 34478-1770. You may fax your application to a Customer Service Center in your area.
What to bring and attach to Form CF-ES 2337
To complete your application, you may need social security numbers, document numbers for legal immigrants, employer and income information for everyone in your family, policy numbers for current health insurance, and job-related health insurance information. Please send copies not originals.
A filled-in Form CF-ES 2337 example: a Florida household applies for food assistance
How to fill out Form CF-ES 2337, box by box
I would like to apply for
Under I would like to apply for: Food Assistance, Cash, Relative Caregiver, Medical, Hospice, OSS/Optional State Supplementation, Medicaid Waiver/Home & Community Based Services or Nursing Home Care, and for Nursing Home Care, enter the Living address prior to entering Nursing Home.
Applicant information: name, addresses, phone numbers and email
Enter the Name of the Head of Household as First, Middle and Last, and see the Before You Begin section. Leave the Home Address blank if you do not have one.
The household may select an adult parent of children (of any age) living in the household, or an adult who has parental control over children (under 18 years of age) living in the household, as the head of household provided all adult household members agree to the selection.
For the Home Address, enter the Street, Apt. No., City, State, Zip Code and County. For the Address where you get your mail, enter the Street/P. O. Box, City, State and Zip Code if different from where you live.
Enter the Home or Message Phone Number, the Work Phone Number, the Cell Phone Number and the E-Mail Address.
YES or NO: Do you want to get information about this application by email?
A reason it is difficult to come to the office for an interview and your preferred language
Do you have a reason that makes it difficult for you to come to the office for an interview? Illness, Transportation, Work or Training, Live in a Rural Area, Care for a sick or Disabled Household Member, or Other (explain). Enter your preferred spoken or written language if not English.
Signatures: adult household member, witness and authorized or designated representative
You certify under penalty of perjury that the information on this form is true to the best of your knowledge, including the citizen or noncitizen status of those who are applying for benefits.
If any information is incorrect, benefits may be reduced or denied, and you may be subject to criminal prosecution or disqualified from the program for knowingly providing incorrect or false information or hiding information.
Under SIGNATURES, the Adult Household Member signs and enters the Date Signed, and a Witness signs if the Adult Household Member signed with an X.
For an Authorized/Designated Representative, please print the Name, Address and Phone Number, and add the Signature of Authorized/Designated Representative.
More rules for Form CF-ES 2337
Processing begins with the date the signed application is received. It may take 7 to 30 days to process your food assistance application. Applications for Medical Assistance and Temporary Cash Assistance may take 30 to 45 days.
Trafficking of food assistance includes buying, selling, stealing, or exchanging benefits for cash. Trafficking of food assistance includes exchanging firearms, ammunition, explosives, or illegal drugs for benefits. Trafficking of food assistance includes buying sodas, water, or other items in a container to get the cash deposit, buying an item with food assistance and then purposely selling the item for cash, and trading cash for items paid for with food assistance benefits.
Under EXPEDITED FOOD ASSISTANCE, eligible households may receive benefits within 7 days.
In Sections A and B, list yourself and all people living in your home even if you are not applying for them. If you are not applying for a member, you do not have to give their SSN or citizenship status.
If anyone is pregnant, list unborn as the name and the due date as the date of birth.
You can give a trusted person permission to talk about this application, see your information, and act for you on matters related to this application, including getting information about your application and signing your application on your behalf. If you are a legally appointed representative for someone on this application, submit proof with the application.
Check YES if you would like to apply to register to vote or update your voter registration information. If you check the NO box or do not check a box, you will be considered to have decided not to apply to register to vote or update your voter registration information.
You will be ineligible for food assistance or TCA for 12 months for the first violation, 24 months for the second violation, and permanently for the third violation.
Common questions about Form CF-ES 2337
Is there a deadline?
Food assistance benefits start from the date of application if the applicant meets all eligibility requirements, completes the interview, and provides all necessary eligibility information by the 30th day after the date of application.
Where do I file it?
An Application for Assistance may be submitted to any Department of Children and Families Economic Self-Sufficiency Services office in the State of Florida by you, or by someone acting for you, in person, by mail, by facsimile (FAX), or electronically through the internet.
Is there a penalty?
If you are convicted of trafficking food assistance benefits of $500 or more, you will be disqualified permanently. If you are convicted of these acts, depending on the severity, you may be fined up to $250,000, imprisoned for up to 20 years, or both (checked November 8, 2026).
Where to get help with Form CF-ES 2337
If you need help in completing this application or need interpreter services, there may be Community Partners in your area who can help. Contact the Customer Call Center at 1-866-762-2237 for more information.
Sources
[1] Form CF-ES 2337 (Aug 2016), ACCESS Florida Application, Florida Department of Children and Families (the Official source link on this page).
