Farsi Translations

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For Farsi forms beginning with the following letters:

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |

Forms translated into FARSI

• AR 2 (11/13) - Reporting Changes For CalWORKs And CalFresh
• AR 2 SAR (3/15) - Reporting Changes For CalWORKs And CalFresh
• AR 3 (2/15) - Mid-Year Status Report For CalWORKs and CalFresh
• CF 1 (10/14) - Notice To All CalFresh Recipients - Important Please Read
• CF 10 (12/13) - Dependent Care Cost Affidavit
• CF 11 (8/18 ENG/Farsi - Notice To All CalFresh Recipients Important - Please Read
• CF 18 (2/14) Eng/Farsi - Important Information
• CF 20 (2/14) - You Do Not Owe Anything For Receiving CalFresh Benefits
• CF 21 (3/14) - Release Form
• CF 23 CR (2/14) - CalFresh Benefits How To Report Household Changes
• CF 23 SAR (1/14) - CalFresh Benefits How To Report Household Changes
• CF 27 (2/13) - Non-Assistance CalFresh (NACF) Household Recertification Form
• CF 28 Coversheet (2/14) - CalFresh Program Restricted Account Coversheet - Important To Know
• CF 28A (2/14) - CalFresh Program Restricted Account Agreement Part A
• CF 28B (2/14) - CalFresh Program Restricted Accounting Agreement part B
• CF 29 (10/13) - CalFresh Recertification Appointment Letter
• CF 29A (2/14) - CalFresh Initial Appointment Letter
• CF 29B (2/14) - CalFresh Initial On-Demand Appointment Letter
• CF 29C (2/14) - CalFresh Recertification Appointment Letter
• CF 29D (2/14) - CalFresh Recertification On-Demand Appointment Letter
• CF 30 (2/18) - SAR 7 Reminder Notice
• CF 30 LP (2/18) - SAR 7 Reminder Notice - Large Print
• CF 31 (6/19) - CalFresh Supplemental Form For Special Medical Deductions
• CF 32 (6/13) - CalFresh Request For Contact
• CF 37 (11/16) - Recertification For CalFresh Benefits
• CF 285 (11/16) - Application For CalFresh And Benefits
• CF 303 (10/18) - Replacement Or Supplement Affidavit/Authorization
• CF 377.1 (6/19) Notice Of Approval For CalFresh Benefits
• CF 377.1A (6/19) - Notice Of Denial Or Pending Status - Use Stating June 1, 2019
• CF 377.11 (6/18) - CalFresh Time Limit Notice - Failure To Meet The Able-Bodied Adults Without Dependents (ABAWDs) Work Requirement
• CF 377.11A (6/18) - CalFresh Time Limit Notice - Expiration Of Three Consecutive Months For Able-Bodied Adults Without Dependents (ABAWDs)
• CF 377.11B (6/18) - CalFresh Countable Month Letter - Use Of Countable Month For Able-Bodied Adults Without Dependents (ABAWDs)
• CF 377.11C (6/18) - CalFresh Informational Notice - CalFresh Time Limit For Able-Bodied Adults without Dependents (ABAWDs)
• CF 377.2 (9/18) - CalFresh Notice Of Expiration Of Certification
• CF 377.2A2 (2/14) - Client Survey
• CF 377.2B (6/17) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members
• CF 377.2C (3/18) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members
• CF 377.2D (3/18) - CalFresh Notice Of Status Change For Households With Only Elderly And/Or Disabled Members
• CF 377.4 CR (1/14) - CalFresh Notice Of Change For Change Reporting Households
• CF 377.4 SAR (6/13) - CalFresh Notice Of Change For Semi-Annual Reporting Households
• CF 377.4A (2/14) - CalFresh Notice Of Change (Non-Citizen)
• CF 377.5 CR (11/13) - CalFresh Household Change Report
• CF 377.5 SAR (9/13) - CalFresh Mid-Certification Period Status Report
• CF 377.6 (8/13) - Information/Verification Needed
• CF 377.7A (2/14) - Notice Of Administrative Disqualification
• CF 377.7A1 (2/14) - Request For Restoration Of CalFresh Benefits After Administrative
• CF 377.7B (4/18) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only
• CF 377.7B LP (2/18) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only - Large Print
• CF 377.7B1 (10/17) - CalFresh Repayment Notice For Inadvertent Household Errors Only Final Notice
• CF 377.7B1 LP (2/18) - CalFresh Repayment Notice - Inadvertent Household Errors Only Final Notice - Large Print
• CF 377.7C (2/14) - CalFresh Repayment Agreement For Inadvertent Household Errors Only
• CF 377.7D (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D1 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only
• CF 377.7D2 (10/17) - CalFresh Repayment Final Notice - County Administrative Error (AE)
• CF 377.7D2 LP (2/18) - CalFresh Repayment Final Notice - County Administrative Error (AE) - Large Print
• CF 377.7D3 (10/17) - CalFresh Overissuance Notice For Administrative Errors (AE)
• CF 377.7D3 LP (6/18) - CalFresh Overissuance Notice For Administrative Errors (AE) - Large Print
• CF 377.7E1 (1/14) - CalFresh Repayment Agreement For Administrative Errors Only
• CF 377.7F (10/17) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV)
• CF 377.7F LP (2/18) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV) - Large Print
• CF 377.7F1 (10/17) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV)
• CF 377.7F1 LP (2/18) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV) - Large Print
• CF 377.7G (3/18) - CalFresh Intentional Program Violation (IPV) Notice - Due To Trafficking
• CF 377.9 (2/14) - Notice Of Back CalFresh Benefits
• CF 385 (10/15) - Application For Disaster CalFresh
• CF 386 (2/14) - CalFresh Notice Of Missed Interview
• CF 387 (5/14) - CalFresh Request For Information
• CF 388 (8/13) - CalFresh Notice Of Restoration Approval
• CF 389 (2/14) - Notice Of Denial Of Restoration
• CF 478 (2/14) - Disqualifiction Consent Agreement CalFresh Program
• CF 500 (10/15) - Informational Notice To CalFresh Recipients
• CF 1239 (3/18) - CalFresh Notice Of Approval/Denial/Termination Transitional Benefits
• CF SSA 1 (6/19) - Information For Households Applying For CalFresh With The Social Security Administration
• CF SSA 1LP (6/19) - Information For Households Applying For CalFresh With The Social Security Administration (20pt Font)
• CW 8 (11/14) - Statement of Facts For An Additional Person
• CW 8A (12/14) - Statement Of Facts To Add A Child Under 16
• CW 52 (7/18) - Changes To The California Work Opportunity And Responsibility To Kids (CalWORKs) Assistance Unit And Child Support Rules
• CW 80 (2/18) - Self-Certification Form For Motor Vehicles - CalWORKs
• CW 2166 (7/19) - Multilingual Work Really Pays! Here's How - Use Starting June 1, 2020 
• CW 2200 (6/19) - Request For Verification
• CW 2211 (11/14) - Your CalWORKs Reporting Rules Have Changed
• CW 2212 (11/14) - The Rules For Your CalWORKs Case Have Change
• CW 2213 (10/15) - Response To Request To Inspect Case Record CalWORKs, CalFresh, TCVAP, And Refugee Programs
• CW 2215 (9/15) - New Rules in California Work Opportunity and Responsibility to Kids (CalWORKs) for Safety Net and Certain Child-Only Case

• DFA 377.1 (11/01) - Notice of Approval
• DFA 377.1A (3/02) - Notice Of Denial Or Pending Status
• DFA 377.4 QR (1/04) - Food Stamp Notice Of Change For Change Reporting Household
• DFA 377.7A (1/12) - Notice Of Administrative Disqualification
• DFA 377.7D2 (10/00 ) - Food Stamp Repayment Notice For Administrative Errors Only Final Notice
• DFA 377.7E (7/04) - Food Stamp Repayment Agreement For Administrative Errors Only
• DFA 377.7G (5/02) - Food Stamp Repayment Agreement For An Intentional Program Violation (IPV) Only
• DFA 377.7F (6/18) - CalFresh Overissuance Notice - Intentional Program Violation (IPV)
• DFA 377.7F LP (6/18) - CalFresh Overissuance Notice - Intentional Program Violation (IPV) - Large Print
• DFA 377.7F1 (10/00) - Food Stamp Repayment Notice For An Intentional Program Violation (IPV) Only Final Notice
• DFA 377.10 (6/04) - Food Stamp Notice Of Discontinuance
• DFA 377.11 (9/04) - Food Stamp Notice Of Discontinuance - Failure To Meet The ABAWDs Work Rule
• DFA 377.11A (9/04) - Food Stamp Notice Of Continuance 1st Failure To Meet ABAWD Work Requirement
• DFA 390 (9/11) - Notice Of Approval/Denial For Disaster CalFresh
• DPA 353 (4/00) - Notice Of Aid To Families With Dependent Children (AFDC) And/Or Food Stamp Administrative Disqualification Hearing
• DPA 435 (1/18) - County Allegation Of Intentional Program Violation/Statement Of Position (Request For An Administrative Disqualification hearing)
• DPA 436B (8/18) - County Information Letter
• DPA 479 (12/17) - Administrative Disqualification Hearing Waiver - CalWORKs/CalFresh
• EBT 2216 (4/15) - EBT Surcharge Free - Direct Deposit Handout
• EBT 2259 (5/19) - Report Of Electronic Theft Of Cash Aid
• EBT 2259A (12/18) - EBT Scamming Acknowledgement
• EBT 2260 (3/15) - Excessive Card Replacement Warning Letter
• EFA 7 (2/18) - The Emergency Food Assistance Program (TEFAP) Certification Of Eligibility
• EFA 14 (4/19) - Emergency Food Assistance Program (EFAP) 2018 Income Guidelines
• EFA 15 (4/19) - Alternate Pick-Up Request Form Emergency Food Assistance Program (EFAP) 2018 Income Guidelines
• GEN 1179 (11/07) - Complaint of Discrimination
• GEN 1390 (3/17) - Informing Notice - Regarding An Action Taken On Your Case

• LIC 9224 (8/08) - Acknowledgement Of Receipt Of Licensing Reports
• M40-181 (9/13) - SAWS 2 Redetermination Of Eligibility
• M40-181C SAR (9/13) - Notice Of Action - Balderas Reminder Notice
• M44-316 SAR (9/13) - No Change/Mid-Period Reporting
• M44-316A (9/13) - Notice Of Action - Not Yet Changed
• M44-316B (9/13) - Notice Of Action - Change In Income Over IRT
• M44-316C SAR (9/13) - No Change/Mid-Period Report of Property
• M44-316D SAR (9/13) - Notice Of Action - Change In Income
• M44-350I SAR (9/13) - Notice Of Overpayment
• M44-350K (12/18) - EBT Replacement Denial
• M44-350L (12/18) - Notice Of Overpayment
• M44-352H SAR (9/13) Notice Of Action Overpayment Adjustment
• M82-820A (3/15) - No Eligible Person, Deny
• NA Back 9 (11/16) - ACA/MEDI-CAL
• NA BACK 9 (4/13) - Your Hearing Rights
• NA 271 (4/13) - Notice of Action Continuation Page - Overpayment Computations For 10-1-2013
• NA 290 (2/14) -Notice of Action - Multipurpose
• NA 300 (4/13) - Notice of Action - Continuation Page - Recipient Financial Eligibility Tests
• NA 531 (4/13) - Notice Of Action Continuation Page - 48-Month Time Limit - Includes Budget
• NA 816 (3/14) - Notice Of Action - Sanction Of Other Parent After Failed Compliance Plan
• NA 817 (3/14) - Notice Of Action - Sanction Of Participant After Failed Compliance Plan
• NA 818 (3/14) - Notice Of Action - Taking You Out Of Welfare To Work
• NA 821 (1/01) - Notice Of Action - Transportation Approval/Denial
• NA 823 (8/00) - Notice Of Action - Ancillary Expenses Approval/Denial
• NA 824 (4/99) - Notice Of Action
• NA 840 (12/16) - Notice Of Action - Welfare To Work Plan
• NA 841 (3/14) - Notice Of Action - Welfare-To-Work Plan
• NA 845 (3/14) - Notice Of Action - Sanction and Removal Of The Other Parent's Needs
• NA 960X QR (7/12) - Notice Of Action - Stop Aid; Report Not Received
• NA 960X SAR (9/13) - Notice Of Action - Stop Aid;Report Not Received
• NA 960Y QR (7/12) - Notice Of Action - Stop Aid; Report Incomplete
• NA 960Y SAR (10/14) - Notice Of Action - Stop Aid;Report Incomplete
• NA 995 (5/13) - Food Stamp Notice of Denial/Disqualification For The California Food Assistance Program
• NA 1239 AR (10/12) - Notice Of Action - Continuation Page - Annual Reporting Budget
• NA 1239 SAR (10/12) - Notice Of Action - Continuation Page - Semi-Annual Reporting Budget
• NA 1240 (4/13) - Notice of Action - Food Stamp Overissuance & Dormant EBT Account
• NA 1263 (8/11) - Notice of Action - Overissuance Budget Worksheet
• NA 1267 (4/13) - CalFresh Informing Notice Of Receiving Intercounty Transfer
• NA 1268 (4/13) - CalFresh Informing Notice Of Sending Intercounty Transfer
• NA 1273 (7/13) - Electronic Notification Agreement
• NA 1274 (7/13) - Electronic Notification Notice
• NA 1275 (7/13) - Electronic Notification Cancellation Notice
• NA 1276 (1/15) - Notice Of Action - Welfare-to-Work 24-Month Time Clock Limit Notice

• PUB 13 (8/16) - Your Rights Pamphlet (Requires 8 1/2" x 14" paper printed landscape)
• PUB 13 (8/16) - Your Rights Pamphlet (Large print 8 1/2" x 11")
• PUB 273 (1/17) Shaken Baby Syndrome Poster - (8" x 11')
• PUB 273-A1 (1/17) Shaken Baby Syndrome Poster - (10" x 12")
• PUB 273-A2 (1/17) Shaken Baby Syndrome Poster - ( 24" x 36")
• PUB 370 (4/19) - Public Assistance Benefits For Asylees In California
• PUB 373 (Print 8 1/2 X 11) (5/07) - Important Food Stamp Information For Noncitizens
• PUB 373 (Print 11 X 17) (5/07) - Important Food Stamp Information For Noncitizens
• PUB 387 (2/06) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits. This is a VERY LARGE file. Please download it to your computer prior to opening it by using the instructions from item #2 on this page: Tips for Using Adobe PDF Files
• PUB 388 (8/17) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp and cash benefits.
  Single Column | Double Columns .
• PUB 389 (8/17) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Make A Purchase. (This Publication Is Designed To Be Folded For Use As A Wallet Card.)
  Single Column | Double Columns
• PUB 390 (2/06) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Buy Food. This is a VERY LARGE file. Please download it to your computer prior to opening it by using the instructions from item #2 on this page: Tips for Using Adobe PDF Files
• PUB 400 (08/17) - Safely Surrendered Baby Campaign Brochure
• PUB 400C (6/17) Safely Surrendered Baby Know Your Rights
• PUB 400C-1 (6/17) - Safely Surrendered Baby Law - Know Your Rights Poster
• PUB 412 (4/04) - State Hearing Information
• PUB 470 (7/17) - Your Rights Under Adult Protective Services
• PUB 470L (1/19) - Your Rights Under Adult Protective Services
• PUB 484 (7/15) - Keep More Of Your Money - Poster
• PUB 485 (6/15) - Enjoy Surcharge-Free ATMs Nationwide - Poster
• QR 2 (6/04) - Reporting Changes For Your Cash Aid Assistance Unit And Food Stamp Household
• QR 3 (7/06) - Mid-Quarter Status Report For Cash Aid And Food Stamps
• QR 7 (12/08) - Eligibility/Status Report - Quarterly For Cash Aid and Food Stamps
• QR 7 Addendum (12/08) - Instructions And Penalties Quarterly Eligibility/Status Report For Cash Aid and Food Stamps
• QR 7A (8/09) - How To Fill Out Your QR 7 Quarterly Eligibility/Status Report
• QR 22 (12/06) - Sponsored Noncitizens Applying For Or Receiving Cash Aid And/Or Food Stamps
• QR 72 (12/06) - Sponsor's Quarterly Income And Resources Report
• QR 377.1 (4/04) - Food Stamp Notice Of Approval
• QR 377.2 (5/08) - Food Stamp Notice Of Expiration Of Certification
• QR 377.4 (1/04) - Food Stamp Notice Of Change For Quarterly Reporting Household
• QR 377.5 (2/04) - Food Stamp Mid-Quarter Status Report

• SAR 2 (6/19) - Reporting Changes For Cash Aid And CalFresh
• SAR 2LP (6/19) - Reporting Changes For Cash Aid and CalFresh (20pt Font)
• SAR 3 (2/15) - Mid-Period Status Report For Cash Aid And CalFresh
• SAR 7 (12/14) - SAR 7 Eligibility Status Report
• SAR 7 Addendum (4/13) - Instructions And Penalties SAR 7 Eligibility Status Report - For Cash Aid and CalFresh
• SAR 7A (12/14) - How To Fill Out Your SAR 7 Eligibility Status Report
• SAR 22 (3/13) - Sponsored NonCitizens Applying For Or Receiving Cash Aid and/or CalFresh
• SAR 23 (3/13) - Senior Parent Statement Of Facts
• SAR 72 (3/13) - Sponsor's Semi-Annual Income And Resources Report
• SAR 73 (3/13) - Senior Parent Semi-Annual Income Report
• SAR 90 (1/14) - Reminder Letter
• SAWS 1 (8/13) - Initial Application For CalFresh, Cash Aid, And/Or Medi-Cal/Health Care Programs
• SAWS 2 PLUS (4/15) - Application For CalFresh, Cash Aid, And/Or Medi-Cal/Health Care Programs
• SAWS 2A SAR (4/15) - Rights and Responsibilities And Other Important Information For The Cash Aid And CalFresh Programs, And/Or Medi-Cal/34-County Medical Services Program (CMSP)
• SAWS 30 (3/19) - Notification Of New Employment
• SNB 1 (8/18) - Notice To CalFresh Recipients Supplemental Nutrition Benefit (SNB) Program
• SNB 2 (8/18) - Notice Of Approval For Supplemental Nutrition Benefit (SNB) Program
• SNB 3 (8/18) - Notice Of Change For Supplemental Nutrition Benefit (SNB) Program
• SNB 4 (8/18) - Notice Of Expiration Of Certification For Supplemental Nutrition Benefit (SNB) Program
• SNB 5 (8/18) - Notice Of Discontinuance For Supplemental Nutrition Benefit (SNB) Program
• SNB 7 (6/19) - CalFresh And Supplemental Nutrition Benefit (SNB) Informing Notice Of Receiving Intercounty Transfer
• SNB 8 (6/19) - CalFresh And Supplemental Nutrition Benefit (SNB) Informing Notice Of Sending Intercounty Transfer
• SOC 829 (10/18) - In-Home Supportive Services (IHSS) / Waiver Personal Care Services (WPCS) Provider Direct Deposit Enrollment/Change/Cancellation Form
• SOC 831 (10/18) - IHSS Provider Letter
• SOC 832 (1/13) - Notice of Child Abuse Central Index Listing

• TEMP 2201 (7/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Request For A Designated Alternate Card Holder/Authorized Representative
• TEMP 2202 (7/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Service Request
• TEMP 2203 (7/02) - Request For Cash Aid Electronic Benefit Transfer - EBT Exemption
• TEMP 2214 (7/08) - Additional Information About Electronic Benefit Transfer (EBT)
• TEMP 2250 (9/18) - State Law Changes Maximum Aid Payment (MAP) Levels For Cash Aid Recipients
• TEMP 2252 (7/19) - State Law Changes The CalWORKs Earned Income Disregard
• TEMP 3005 (12/14) - Changes For People With A Prior Felony Drug Conviction
• TEMP 3011 - (5/18) CFT Parents Brochure
• TEMP 3012 - (5/18) CFT Youth Brochure
• TEMP 3013 - (5/18) CFT Professional Brochure
• TEMP 3014 - (7/19) Treasury Offset Program (TOP) Pre-Offset Notice
• TEMP 3015 - (7/19) Franchise Tax Board (FTB) Pre-Offset Notice
• TEMP AR 1 (2/13) - New Reporting Requirements For CalWORKs and CalFresh
• TEMP CF 1468 (2/15) - CalFresh Notice Of Change
• TEMP NA 1232 (8/08) - Food Stamp Notice of Action - EBT Account
• TEMP NA 1238 (7/04) - Required Form - Substitute Permitted
• TEMP WI 10072 (8/13) - EBT Replacement Approval
• TEMP WI 10072A (8/13) - EBT Replacement Review
• TM44-315H (9/14) - Law Change To MAP Levels
• TM44-315K (7/19) - Law Change To MAP Levels
• TM82-832 (12/14) - Basic Approval
• TNB 1 (8/18) - Notice To CalFresh Recipients Transitional Nutrition Benefit (TNB) Program
• TNB 2 (8/18) - Notice Of Approval For Transitional Nutrition Benefit (TNB) Program
• TNB 3 (8/18) - Notice Of Change For Transitional Nutrition Benefit (TNB) Program
• TNB 4 (8/18) - Notice Of Recertification For Transitional Nutrition Benefit (TNB) Program
• TNB 5 (8/18) - Recertification Reminder Notice For Transitional Nutrition Benefit (TNB) Program Recertification Form Not Received Or Incomplete
• TNB 6 (8/18) - Notice Of Discontinuance For Transitional Nutrition Benefit (TNB) Program
• TNB 7 (6/19) - Transitional Nutrition Benefit (TNB) Informing Notice Of Receiving Intercounty Transfer
• TNB 8 (6/19) - Transitional Nutrition Benefit (TNB) Informing Notice Of Sending Intercounty Transfer
• WI 10072A (12/18) - EBT Replacement Approval
• WI 10072B (12/18) - EBT Replacement Review
• WINS 1 (5/14) - Notice To All CalFresh Recipients Work Incentive Nutritional Supplement (WINS) Benefit Important - Please Read
• WINS 1239 (5/14) - CalFresh Notice Of Approval/Denial/Termination Work Incentive Nutritional Supplement (WINS) Benefits
• WTW 5 (9/13) - Welfare-To-Work Program Notice - Tell The County If You Need Help Reading Or Understanding This Notice
• WTW 15 (9/13) - Simplified CalFresh Program Unpaid Work Experience (WEX) And Unpaid Community Service Hours Worksheet
• WTW 16A (7/19) - Grant Based OJT Income Examples For Region 1 - Use Starting June 1, 2020
• WTW 16B (7/19) - Grant Based OJT Income Examples For Region 2 - Use Starting June 1, 2020
• WTW 17 (12/15) - Waiver Of CalWORKs Learning Disabilities Screening And/Or Evaluation
• WTW 43 (9/14) - Notice Of Your Welfare-To-Work (WTW) 24-Month Time Clock Ending Soon
• WTW 44 (1/15) – Welfare To Work (WTW) 24-Month Time Clock Extension Request Form
• WTW 45 (1/15) – Welfare To Work (WTW) 24-Month Time Clock Extension Determination
• WTW 46 (1/15) - End Of Welfare-To-Work 24-Month Time Clock Review Appointment Letter
• WTW 47 (3/15) - Online CalWORKs Appraisal Tool Rights And Privacy