CalFresh Benefits

See if you qualify today!

Apply For CalFresh Benefits

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Are you filling out this form for yourself?*

Yes

Referring Agency Contact First Name*

Referring Agency Name*

Referring Agency Contact Last Name*

Email*

Client First Name*

Client Last Name*

Resident of Santa Cruz County?*

Yes

Date Of Birth*

Client City and Zip Code*

City ZIP Code

Phone*

Email Address

Are you currently receiving any of the following:*

CalWORKs

MediCal

SSI/SSP

None of the above

Please let us know your preferred appointment time.

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Phone

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You may qualify for Calfresh if you can answer yes to all of these questions:

(Note: If you or a family member are 60 years or older or permanently disabled, your gross income limit will be higher.)

800 Ohlone Parkway
Watsonville, CA 95076