Replace lost or damaged food
People can request replacement benefits for food that they bought using CalFresh and that they lost or had damaged in an emergency such as fire, natural disaster, power outages, etc. A form must be submitted within 10 days of the end of an event, such as a power outage.

To Apply for Replacement Benefits
Complete and submit the CF 303 form.

• Online - At BenefitsCal.com the CF 303 form can be downloaded, completed, then uploaded to your account.
  • English CF 303 form
  • Spanish CF 303 form

• By phone - Customers can call Placer County Human Services, and get help completing the form via phone. People can mail in the CF 303 or bring it to one of the Placer County Human Services offices.

Submitting online via BenefitsCal.com will probably be the quickest and easiest because people will not need to wait in queues in the call center or office lobbies.

Locations
AUBURN Human Services Office
11434 B Avenue, Auburn, CA 95603
Phone 888-385-5160, Fax 530-889-7608

ROCKLIN Human Services Office
1000 Sunset Boulevard, Suite 220, Rocklin, CA 95765
Phone 888-385-5160, Fax 916-784-6100

NORTH LAKE TAHOE Human Services Office
5225 N Lake Boulevard, Carnelian Bay, CA 96140
Phone 888-385-5160, Fax 530-546-1912

Web pages

• CF 303 form is at Benefitscal.com - https://www.cdss.ca.gov/Portals/9/Additional-Resources/Forms-and-Brochures/2020/A-D/CF303.pdf?ver=2021-10-21-083524-990
• Human Services Contact Staff - https://www.placer.ca.gov/Directory.aspx?DID=88
• Apply for/Access your Public Benefits Online (Medi-Cal, CalFresh, CalWORKS, Disaster CalFresh, General Assistance) - www.benefitscal.com