# Respond to CalFresh/Medi-Cal income verification request — case 1BC5B51 **Linear:** MAN-80 — https://linear.app/manglasabang/issue/MAN-80/respond-to-calfreshmedi-cal-income-verification-request-case-1bc5b51 **Status:** Could do **Project:** default ## Description ## Background Received a California DHSS "Request For Verification" letter (form 669) for CalFresh (CF) and Medi-Cal (MC). | Field | Value | | -- | -- | | Case number | 1BC5B51 | | Due date | 03/16/2026 (4 days past — letter arrived 03/20) | | Requested | Proof of Income / Self-Employment | | Programs | CalFresh ✓, Medi-Cal ✓ | EBT card received same day (03/20), $298/mo, so case is still active. ## What's needed Self-employment income documentation for CalFresh/Medi-Cal. Acceptable options: * Most recent federal tax return (Schedule C / 1040) * Self-employment income statement (gross income minus business expenses) * Business bank statements showing income * Palace Fund LLC operating/business documents ## Action Respond via email explaining: 1. Letter just received today (03/20) — arrived late 2. Request extension or confirm verification can still be submitted 3. Attach income documentation **Note:** Email is slower. If no response by Monday, call DPSS: 1-866-613-3777, ask for caseworker on case 1BC5B51. ## Next steps - [ ] Draft and send email to county with explanation + income docs - [ ] Confirm receipt and follow up if no response by Monday 03/23 - [ ] Activate EBT card (1-877-328-9677, PIN 7275)