PrintDo CalFresh time limits apply to me? Take this short assessment to find out if time limits apply to you. Do you currently live in Contra Costa or Solano County?* Yes No Are you 18 or older?* Yes No Are you 49 or younger?* Yes No Is there a child under 18 in your household?*(Does not need to be your child) Yes No Are you currently working, volunteering, or participating in an Employment and Training program for at least 20 hours per week or 80 hours per month (including self-employment?)* Yes No Are you currently homeless and unable to meet your needs?* Yes No Do you go to school or training at least half time?* Yes No Are you pregnant?* Yes No Are you caring for a person with a disability? (The person does not need to live with you.)* Yes No Do you receive or have you applied for unemployment benefits or disability benefits from any source?* Yes No Are you in a drug or alcohol treatment program or are you struggling with alcohol or substance abuse?* Yes No Are you experiencing or escaping domestic violence?* Yes No Do you have a physical, mental or behavioral health condition that limits your ability to work?*For example, if you suffer from depression, PTSD, or are recovering from an accident. Yes No Time Limits May Not Affect You*Time limits do not apply to people who are: - living in a county where time limits are not enforced - 17 or younger - 50 or older - In households with at least one child who is under 18 Are you interested in sharing your story? If yes, the Food Bank of Contra Costa and Solano will follow up with you to learn more. Yes No Time Limits May Not Affect You (Work Requirement)*Based on your response, you are meeting the work requirement and the time limit may not apply to you. You must contact the county to report your work hours. You may be asked to provide verification about these circumstances. Contact the Food Bank for navigation assistance by emailing [email protected], or calling 925-603-3316. Our staff can help determine whether or not the time limits apply to you, connect you with a county worker to report any applicable exemptions, and assist you in finding available opportunities to meet the work requirements. Are you interested in sharing your story? If yes, the Food Bank of Contra Costa and Solano will follow up with you to learn more. Yes No Time Limits May Not Affect You (Possible Exemption)*Based on your response, you may be eligible for an exemption and the time limit may not apply to you. You must contact the county to report this exemption. You may be asked to provide verification about these circumstances. Contact the Food Bank for navigation assistance by emailing [email protected], or calling 925-603-3316. Our staff can help determine whether or not the time limits apply to you, connect you with a county worker to report any applicable exemptions, and assist you in finding available opportunities to meet the work requirements. Are you interested in sharing your story? If yes, the Food Bank of Contra Costa and Solano will follow up with you to learn more. Yes No Time Limits May Affect You*Contact the Food Bank for navigation assistance by emailing [email protected], or calling 925-603-3316. Our staff can help determine whether or not the time limits apply to you, connect you with a county worker to report any applicable exemptions, and assist you in finding available opportunities to meet the work requirements. Are you interested in sharing your story? If yes, the Food Bank of Contra Costa and Solano will follow up with you to learn more. Yes No Name* First Last Please enter a phone number and/or email so we can contact you. Phone Number and/or Email* Thank you for offering to share your story with the Food Bank of Contra Costa and Solano.
