SNAP Outreach Northwest Georgia

Size: px
Start display at page:

Download "SNAP Outreach Northwest Georgia"

Transcription

1 SNAP Outreach Northwest Georgia

2 ACFB and CAFB Both the Atlanta Community Food Bank and the Chattanooga Area Food Bank have Benefits Outreach We are both part of the Compass Community Partnership with Georgia DHS We have slight variation in our programs, but the concept is the same: Our staff helps our neighbors access public benefits by going out into out communities.

3 SNAP in our Communities County Estimated % of Population Receiving Food Stamps Estimated % of Population NOT Receiving Food Stamps though financially eligible Bartow 14% 8% Catoosa 12% 7% Chattooga 22% 12% Cherokee 7% 6% Cobb 9% 7% Dade 15% 7% Douglas 16% 7% Fannin 15% 15% Floyd 17% 10% Gilmer 16% 8% Gordon 17% 9% Murray 19% 11% Paulding 11% 7% Pickens 13% 6% Polk 21% 8% Walker 17% 8% Whitfield 16% 10% American Communities Survey 2014 estimates

4 Who Receives SNAP Children (44%) Seniors (10%) Disabled (10%) Working (43%) Farson Gray, Kelsey and Shivani Kochhar. (2015) Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year Prepared by Mathematica Policy Research for the USDA Food and Nutrition Service (available online at

5 SNAP/Food Stamps The Supplemental Nutrition Assistance Program (SNAP), also known as the Food Stamp Program, is a federally funded program that provides monthly benefits to low-income households to help pay for the cost of food.

6 Households A household may be one person living alone, a family, or several unrelated individuals who live together and routinely purchase and prepare meals together. The decision of whether or not an individual must be included in the household is based on federal regulations.

7 Financial Eligibility Household Size Gross monthly income (130% of poverty) Net monthly income (100% of poverty) 1 $1,276 $ ,726 1, ,177 1, ,628 2, ,078 2, ,529 2, ,980 3, ,430 3,408 Each additional member

8 Categorical Eligibility Must be a citizen or a legal resident If a college or technical school student, must be working 20 hours a week or be approved for federal work study Cannot live with primary caregivers and receive benefits independently if under the age of 22

9 Application Process 1. Application completed and verification documents submitted 2. Phone Interview and additional documents submitted 3. Case processed in a maximum of 30 business days 4. Benefits are on Card in 48 hours. New cards are received in 7-10 business days

10 Verification Documents Proof of Identity ID Birth Certificate if not born in Georgia Proof of income (any liquid assets).: Earned Income i.e. pay stubs, letter of employment Unearned Income: child support, SSDI/SSI, VA, Pension, Unemployment, Alimony Shelter Expenses: Rent/lot rent, mortgage, homeowners insurance, property tax Unities bills such as water, power, gas, waste removal, wood/propane. Proof of child care/adult care expenses Proof of medical expenses for elderly (individuals of the age of 60 or above) and/or disabled.

11 Standard Medical Deduction Medical expenses totaling more than $35 a person can receive $185 of deductions for seniors and disabled. This enables these individuals additional benefits, averaging a $35 increase. Medical expenses include: medical and dental services, prescription drugs, health insurance costs, medical supplies or equipment. Travel Expenses to & from medical (keep a log & receipts). For over-the-counter medicines alternative medical services service animal

12 Changes During the Great Recession that are remaining Non-liquid assets aren t accounted for Recently or Near future Drug Felony ban is over beginning in July ABAWDs implemented Being rolled out Cannot apply online New computer system with more programs In pilot phases

13 ABAWDs Able Bodied Working Adults An able bodied adult with out dependents must work a minimum of 80 hours in a month through work, work fare, or approved training program to continue receiving food stamps A person can not meet this requirements for 3 total months in a 3 year period before they are sanctioned from the program

14 Break Out Luisa Fortin SNAP Outreach Coordinator ex.214 Jolene Glenn Benefits Outreach Manager

Making Changes to Your Snap Account: Page 9. Handling Benefit Changes & Denial Notices: Page 10. Department of Social Services Contact Info: Page 12

Making Changes to Your Snap Account: Page 9. Handling Benefit Changes & Denial Notices: Page 10. Department of Social Services Contact Info: Page 12 Table of Contents: SNAP Overview: Page 2 SNAP Eligibility: Page 3-5 How EHC! SNAP Advocates Can Help: Page 6 SNAP Application Requirements: Page 7 SNAP Application Final Steps: Page 8 Making Changes to

More information

Application Instructions

Application Instructions Application Instructions ELIGIBILITY REQUIREMENTS 1. Florida Keys resident for at least 6 months 2. Meet income level restrictions (see Gross Income Eligibility Criteria) 3. No health insurance of any

More information

YMCA of Greenwich Scholarship Application

YMCA of Greenwich Scholarship Application YMCA of Greenwich Scholarship Application The YMCA of Greenwich enriches the community by promoting positive values through programs that build healthy kids and strong families. Please take your time completing

More information

COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 09//07/2012

COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 09//07/2012 COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 09//07/2012 The following sections update Food Support and FS to Supplemental Nutrition Assistance Program (SNAP) and FSET to SNAP

More information

Three years after the end of the recession, which officially

Three years after the end of the recession, which officially Issues 2012 M M A N H A T T A N I N S T I T U T E F O R P O L I C Y R E S E A R C H I No. 23 September 2012 THE FOOD STAMP RECOVERY: The Unprecedented Increase in the Supplemental Nutrition Assistance

More information

2016 IFP Plans. Products available both ON and OFF the Health Insurance Marketplace

2016 IFP Plans. Products available both ON and OFF the Health Insurance Marketplace ATTENTION: This document is an internal document provided as a convenience to you, our agents. This document is not to be used at the point of sale. For plan details, please refer your clients to the appropriate

More information

Rights and Responsibilities

Rights and Responsibilities Georgia Department of Human Services Rights and Responsibilities Welcome to the Georgia Division of Family and Children Services! We are giving you this information to help you understand your rights and

More information

Instructions. 1. Your Name 2. Your Case Number 3. Your Daytime Telephone Number For a change in employment you must also provide:

Instructions. 1. Your Name 2. Your Case Number 3. Your Daytime Telephone Number For a change in employment you must also provide: Instructions Please complete this form when reporting any change in circumstances including but not limited to: employment, income, address, household composition. You must always provide the following

More information

Benefits Counseling. How to provide Non-SSA Benefits Planning

Benefits Counseling. How to provide Non-SSA Benefits Planning Benefits Counseling How to provide Non-SSA Benefits Planning Benefits Counseling How to help SSA beneficiaries with other means-tested benefit programs SNAP HUD TANF Benefits Counseling/SNAP Eligibility

More information

Welcome to Family Investment. Face-to-face interviews for Family Investment Programs are on Mondays, Tuesdays, Thursdays and Fridays

Welcome to Family Investment. Face-to-face interviews for Family Investment Programs are on Mondays, Tuesdays, Thursdays and Fridays Welcome to Family Investment Face-to-face interviews for Family Investment Programs are on Mondays, Tuesdays, Thursdays and Fridays Please submit applications to the front desk by 11am to be sure you are

More information

The Federal Supplemental Nutrition Assistance Program (SNAP) Introduction. Filing FS Application

The Federal Supplemental Nutrition Assistance Program (SNAP) Introduction. Filing FS Application The Federal Supplemental Nutrition Assistance Program (SNAP) Barbara Weiner Empire Justice Center 119 Washington Ave. Albany, New York 12210 bweiner@empirejustice.org (518) 462-6831 Introduction FSP renamed

More information

Pompton Lakes Board of Education Annual Health Plan Negotiated Employee Contribution Comparison Single Coverage - July 2018 through June 2019

Pompton Lakes Board of Education Annual Health Plan Negotiated Employee Contribution Comparison Single Coverage - July 2018 through June 2019 Single Coverage - July 2018 through June 2019 Annual Single Coverage Negotiated Contribution Step 2: Identify the below medical plan in Range that matches your chosen plan of benefits; add the prescription

More information

Request for Benefits. For use with Forms 08MP002E and 08MP003E

Request for Benefits. For use with Forms 08MP002E and 08MP003E *PS1 * Date: Case name: Case number: County number. Supervisor/worker number: / Request for Benefits For use with Forms 08MP002E and 08MP003E What you need to do to get started: Read the following descriptions

More information

UNC Pharmacy Assistance Program (PAP)

UNC Pharmacy Assistance Program (PAP) (PAP) INSTRUCTIONS Requirements and Documents for Application If you have questions about the PAP application or the 14 day Temporary PAP Benefit, please call (919) 966-7690, option 1. A counselor is available

More information

Food Stamps. Training Manual. NOTES Presented by:

Food Stamps. Training Manual. NOTES Presented by: Food Stamps Training Manual Presented by: January 2004 Food Stamps Program Overview Presented by: January 2004 Application Process Household Concept Topics Citizenship/Social Security Numbers Residency

More information

$ FACTS ABOUT GEORGIA: WAGE STATE FACTS HOUSING MOST EXPENSIVE AREAS WAGE RANKING

$ FACTS ABOUT GEORGIA: WAGE STATE FACTS HOUSING MOST EXPENSIVE AREAS WAGE RANKING STATE #27 * RANKING In Georgia, the Fair Market Rent () for a two-bedroom apartment is $911. In order this level of and utilities without paying more than 30% of income on housing a household must earn

More information

OWNER OCCUPANT APPLICATION

OWNER OCCUPANT APPLICATION ERIE REDEVELOPMENT AUTHORITY APPLICATION FOR RESIDENTIAL CDBG/HOME PROGRAM Updated November 2017 OWNER OCCUPANT APPLICATION IMPORTANT: COMPLETE ENTIRE FORM TO AVOID PROCESSING DELAYS OR DENIAL OF APPLICATION

More information

YOUR RESPONSIBILITY TO REPORT CHANGES

YOUR RESPONSIBILITY TO REPORT CHANGES LDSS-3151 (Rev. 8/12) PAGE 1 NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM (Please Print Clearly) CASE NUMBER YOU MUST

More information

Trends in Supplemental Nutrition Assistance Program Participation Rates: Fiscal Year 2010 to Fiscal Year 2014

Trends in Supplemental Nutrition Assistance Program Participation Rates: Fiscal Year 2010 to Fiscal Year 2014 United States Department of Agriculture Current Perspectives on SNAP Participation Trends in Supplemental Nutrition Assistance Program Participation Rates: Fiscal Year 2010 to Fiscal Year 2014 Supplemental

More information

TO: State and Local Government Clients DATE: June 18, IRS Guidance on Recovery Zone Economic Development Bonds and Recovery Zone Facility Bonds

TO: State and Local Government Clients DATE: June 18, IRS Guidance on Recovery Zone Economic Development Bonds and Recovery Zone Facility Bonds MEMORANDUM TO: State and Local Government Clients DATE: June 18, 2009 FROM: Douglass P. Selby, Esq. Caryl Greenberg Smith, Esq. FILE: 99999.000502 IRS Guidance on Recovery Zone Economic Development Bonds

More information

Non Minor Dependents & CalFresh

Non Minor Dependents & CalFresh Non Minor Dependents & CalFresh JOHN BURTON FOUNDATION FOR CHILDREN WITHOUT HOMES www.johnburtonfoundation.org May 12, 2016 QUESTIONS ANSWERED Information to Participate Call in information Phone number:

More information

CSBG Scholarship/Trade Training. Please PRINT clearly

CSBG Scholarship/Trade Training. Please PRINT clearly CSBG Scholarship/Trade Training Please PRINT clearly Today s Date: / / Your Name: Your Date of Birth / / Your Social Security Number - - Have you lived in McHenry County for all of the past 90 days? Yes

More information

Rights and Responsibilities

Rights and Responsibilities Welcome to the Georgia Division of Family and Children Services! If you need help filling out this application, ask us or call 1-877-423-4746. If you are deaf or hard of hearing, please call GA Relay at

More information

1. Name of Applicant: (Guarantor on Account) 2. Name of Patient: 3. Relationship to Applicant: 4. Address: 5. Telephone Number:

1. Name of Applicant: (Guarantor on Account) 2. Name of Patient: 3. Relationship to Applicant: 4. Address: 5. Telephone Number: Financial Assistance Application Please refer to Attachment I of this Application for instructions on completing this Application. If you have any questions or need assistance, please contact a financial

More information

Application Readiness Helping the Process

Application Readiness Helping the Process Supplement Nutrition Assistance Program Application Readiness Helping the Process Division of Assistance Programs and the Office of Organizational & Skill Development Benefits of Complete Application Ready

More information

Dalton State College Fall 2014 Volume 3 Number 2 In this Issue

Dalton State College Fall 2014 Volume 3 Number 2 In this Issue Center for Economic Research and Entrepreneurship Inside this issue Regional Job Growth Since the Great Recession Page 1 Labor Statistics for Northwest Georgia Page 4 Understanding Labor Market Statistics

More information

SNAP Eligibility and Participation Dynamics: The Roles of Policy and Economic Factors from 2004 to

SNAP Eligibility and Participation Dynamics: The Roles of Policy and Economic Factors from 2004 to SNAP Eligibility and Participation Dynamics: The Roles of Policy and Economic Factors from 2004 to 2012 1 By Constance Newman, Mark Prell, and Erik Scherpf Economic Research Service, USDA To be presented

More information

As of October 1, 2008, Supplemental Nutrition Assistance Program (SNAP) is the new name for the federal Food Stamp Program.

As of October 1, 2008, Supplemental Nutrition Assistance Program (SNAP) is the new name for the federal Food Stamp Program. Food Assistance (FA) Supplemental Nutrition Assistance Program (SNAP) As of October 1, 2008, Supplemental Nutrition Assistance Program (SNAP) is the new name for the federal Food Stamp Program. The new

More information

National Verifier Acceptable Documentation Guidelines

National Verifier Acceptable Documentation Guidelines Last Updated: November 15, 2017 Table of Contents Purpose... 1 Proof of Eligibility... 1 Minimal Criteria for Acceptance... 1 New Documentation... 1 Acceptable Documentation... 1 Federal Public Housing

More information

Mortgage Delinquency and Foreclosure Trends Georgia Fourth Quarter 2011

Mortgage Delinquency and Foreclosure Trends Georgia Fourth Quarter 2011 Mortgage Delinquency and Foreclosure Trends Georgia Fourth Quarter 2011 This report for Georgia is part of the Mortgage Delinquency and Foreclosure Trends series, released quarterly, which provides information

More information

Last Name First Name Middle. Address Number & Street City State Zip Code. Date of Birth Applicant Co-applicant / / / / Month Day Year Month Day Year

Last Name First Name Middle. Address Number & Street City State Zip Code. Date of Birth Applicant Co-applicant / / / / Month Day Year Month Day Year PARKVIEW APARTMENTS HOUSING APPLICATION Mr. Ms. Miss Date: Mrs. Mr. & Mrs. Last Name First Name Middle Address Number & Street City State Zip Code ( ) ( ) Home Phone Number Alternate Contact Number How

More information

KERR COUNTY INDIGENT HEALTH CARE POLICY

KERR COUNTY INDIGENT HEALTH CARE POLICY KERR COUNTY INDIGENT HEALTH CARE POLICY (This revised policy, adopted by Kerr County Commissioners Court at the regular meeting on June 9, 2014, shall become effective June 15, 2014.) The Kerr County Indigent

More information

Mortgage Delinquency and Foreclosure Trends Georgia First Quarter 2011

Mortgage Delinquency and Foreclosure Trends Georgia First Quarter 2011 Mortgage Delinquency and Foreclosure Trends Georgia First Quarter 2011 This report for Georgia is part of the Mortgage Delinquency and Foreclosure Trends series, released quarterly, which provides information

More information

City State Zip County. List household members (First/Last) Relationship Date of Birth S.S.N Residency

City State Zip County. List household members (First/Last) Relationship Date of Birth S.S.N Residency SECTION 1: APPLICANT CHILDREN S HOSPITAL COLORADO FINANCIAL ASSISTANCE PROGRAM Attention: Financial Counseling 13123 E 16th Ave B-280 Aurora, CO 80045 Direct # 720-777-7001 Fax #: 720-777-7124 Last Name

More information

KY Department for Community Based Services. Order of Presentation. Child Care Assistance Program

KY Department for Community Based Services. Order of Presentation. Child Care Assistance Program KY Department for Community Based Services Mark Cornett, Deputy Commissioner, Department for Community Based Services Order of Presentation General Info/Eligibility by Program Access Caseloads Data Systems

More information

What is the purpose of the Food Stamp Program? Where can I apply and get more information about the Food Stamp Program?

What is the purpose of the Food Stamp Program? Where can I apply and get more information about the Food Stamp Program? Utah Legal Services Committed to Equal Justice www.utahlegalservices.org Food Stamps What is the purpose of the Food Stamp Program? Food Stamps are issued through the Utah Horizon card, which acts as a

More information

RX FOR OKLAHOMA. Information Necessary for Application. Please provide the following information to process the application.

RX FOR OKLAHOMA. Information Necessary for Application. Please provide the following information to process the application. 2615 E Randolph Ave. RX FOR OKLAHOMA This program is to assist client/patients without prescription drug coverage. These programs offer client patient maintenance drugs by Pharmaceutical Companies for

More information

STARTING STRONG FOR COMMUNITY HEALTH! WEBINAR. SNAP for Enrollment Assisters July 25, 2017

STARTING STRONG FOR COMMUNITY HEALTH! WEBINAR. SNAP for Enrollment Assisters July 25, 2017 STARTING STRONG FOR COMMUNITY HEALTH! WEBINAR SNAP for Enrollment Assisters July 25, 2017 QUESTIONS? ASK QUESTIONS USING THE CHAT BOX FEATURE Ask questions at any time using the Chat Box Feature We will

More information

INITIAL CLIENT INTAKE SHEET PATERNITY

INITIAL CLIENT INTAKE SHEET PATERNITY INITIAL CLIENT INTAKE SHEET PATERNITY CLIENT NAME: SSN: Address: DOB: Mailing Address (if different from above): Place of Birth: County: Length of Residence in State: Alimony or Maintenance Paid to / Received

More information

Mortgage Delinquency and Foreclosure Trends Georgia Third Quarter 2010

Mortgage Delinquency and Foreclosure Trends Georgia Third Quarter 2010 Mortgage Delinquency and Foreclosure Trends Georgia Third Quarter 2010 This report for Georgia is part of the Mortgage Delinquency and Foreclosure Trends series, released quarterly, which provides information

More information

2016 Millage Rate Hearings. Finance Department

2016 Millage Rate Hearings. Finance Department 2016 Millage Rate Hearings Finance Department 2012 Actuals Overview 2015 ACTUALS Review of 2015 Actuals-General Fund Budgeted Revenues 38,183,825 Budgeted Expenditures 40,422,979 Budgeted Deficit (2,239,154)

More information

Gallatin County. Montana Poverty Report Card

Gallatin County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County increased from 13.% in 21 to 14.% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased from

More information

Missoula County. Montana Poverty Report Card

Missoula County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County decreased from 17.3% in 21 to 16.% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased from

More information

Greene County Medical Center Application for Long Term Care

Greene County Medical Center Application for Long Term Care 114-387 Greene County Medical Center Application for Long Term Care Name Preferred Name: Current Address City, State, Zip Code Marital Status (circle one) S M W D Social Security #: Spouse (if applicable):

More information

Health Exchange ID Card Guide Georgia

Health Exchange ID Card Guide Georgia Health Exchange ID Card Guide 2015 Georgia Table of Contents Introduction... 3 Suggested HIX Financial Class and Payor Codes... 6... 7 Assurant Health... 8 Blue Cross Blue Shield Healthcare Plan of Georgia...

More information

Who wants to tell us. Why do Tax Credits matter?

Who wants to tell us. Why do Tax Credits matter? Who wants to tell us Why do Tax Credits matter? Non-Refundable Credits Non-Refundable Credits Other Dependent Credit Lifetime Learning (Education) Credit Credit for Child and Dependent Care Retirement

More information

FREQUENTLY ASKED QUESTIONS ABOUT FREE AND REDUCED PRICE SCHOOL MEALS

FREQUENTLY ASKED QUESTIONS ABOUT FREE AND REDUCED PRICE SCHOOL MEALS FREQUENTLY ASKED QUESTIONS ABOUT FREE AND REDUCED PRICE SCHOOL MEALS Dear Parent/Guardian: Children need healthy meals to learn. St Albert Nutrition Service offers healthy meals every school day. Breakfast

More information

DOCUMENT LIST Interim Change Report for Income, Assets, or Expenses

DOCUMENT LIST Interim Change Report for Income, Assets, or Expenses DOCUMENT LIST Interim Change Report for Income, Assets, or Expenses Remember you are required to report all increases in your household income within 10 days of the occurrence. If you are reporting a change

More information

Workforce Innovation and Opportunity Act Eligibility

Workforce Innovation and Opportunity Act Eligibility Workforce Innovation and Opportunity Act Eligibility WIOA Low Income Eligibility WIOA Title 1 Authorization Federal: Workforce Investment Opportunity Act of 2014 State of Illinois: Department of Commerce

More information

Ravalli County. Montana Poverty Report Card

Ravalli County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County increased from 15.% in 21 to 16.8% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased from

More information

Granite County. Montana Poverty Report Card

Granite County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County increased from 12.1% in 21 to 15.1% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased

More information

Dawson County. Montana Poverty Report Card

Dawson County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County increased from 9.3% in 21 to 16.% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased from

More information

HCV Certification Form

HCV Certification Form HCV Certification Form Instructions for completing this form: Complete this form IN INK. You must answer ALL questions front and back. A packet must be completed for every change of income or household,

More information

Maximizing SNAP Benefits Through the Medical Expense Deduction

Maximizing SNAP Benefits Through the Medical Expense Deduction July 2013 Maximizing SNAP Benefits Through the Medical Expense Deduction Audio Portion: 1-866-740-1260 Web Portion: www.readytalk.com Code: 4796976 A nonprofit service and advocacy organization 2013 National

More information

7. Will the information I give be checked? Yes, we may ask you to send written proof of your household income and size.

7. Will the information I give be checked? Yes, we may ask you to send written proof of your household income and size. Dear Parent/Guardian: Children need healthy meals to learn. Stanly County Schools offers healthy meals every school day. Breakfast costs $1.25; lunch costs K-5 $2.35 and 6-12 $2.50. Your children may qualify

More information

Food Supplement Benefits. Maine Equal Justice Partners 10th Annual Maine Advocacy Conference November 3, 2015

Food Supplement Benefits. Maine Equal Justice Partners 10th Annual Maine Advocacy Conference November 3, 2015 Food Supplement Benefits Maine Equal Justice Partners 10th Annual Maine Advocacy Conference November 3, 2015 www.mejp.org Maine Hunger Initiative The Maine Hunger Initiative was established as the first

More information

The party making the request and the assigned mediator will be notified whether the request is granted prior to the mediation session.

The party making the request and the assigned mediator will be notified whether the request is granted prior to the mediation session. CARROLL COUNTY MEDIATION CENTER ALTERNATIVE DISPUTE RESOLUTION PROGRAM CARROLL COUNTY COURTHOUSE 311 NEWNAN STREET (3 RD FLOOR) CARROLLTON, GA 30117 PHONE: 770-830-5993 / FAX: 770-830-0434 The party requesting

More information

HS-0169 revised 01/13

HS-0169 revised 01/13 Tennessee Department of Human Services Family Assistance Application THIS BOX DHS USE ONLY Case #: Date received: County: We will take your application with only your name, address, and signature. However,

More information

MEDICATION ASSISTANCE PROGRAM

MEDICATION ASSISTANCE PROGRAM 1993 Harrison Street Batesville, AR 72501 870.698.9991 (P) 870.698.0022 (F) 1200 South Main Street Searcy, AR 72143 501.268.5000 (P) 501.268.5006 (F) MEDICATION ASSISTANCE PROGRAM Dear Client, Enclosed

More information

Silver Bow County. Montana Poverty Report Card

Silver Bow County. Montana Poverty Report Card 1 County Poverty Report Card June 16 Summary The poverty rate for County increased from 17.8% in to 19.1% in 13. For the month of December in 11 and 14, the county s unemployment rate decreased from 6.6%

More information

ELDERLY/DISABLED HOUSEHOLDS

ELDERLY/DISABLED HOUSEHOLDS ELDERLY/DISABLED HOUSEHOLDS IN ELDERLY/DISABLED HOUSEHOLDS IN THE CALFRESH PROGRAM Program Overview National eligibility standards and benefit levels e are established s ed by Congress and administered

More information

APPLICATION FOR SCHOLARSHIP MEMBERSHIP

APPLICATION FOR SCHOLARSHIP MEMBERSHIP APPLICATION FOR SCHOLARSHIP MEMBERSHIP The Skagit Valley Family YMCA provides financial assistance to the extent possible to those in need. Proof of income is required and eligibility is determined by

More information

Application for Waiver of Court Fees

Application for Waiver of Court Fees Application for Waiver of Court Fees If you claim you are not financially able to pay filing fees and cost, you may apply to the Court for Waiver of those fees. To seek waiver of fees, you must complete

More information

Flathead County. Montana Poverty Report Card

Flathead County. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary The poverty rate for County increased from 11.7% in 21 to 14.2% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased

More information

CalFresh Handbook page 6-1 Verification

CalFresh Handbook page 6-1 Verification CalFresh Handbook page 6-1 6. 6.1 Overview [63-300.5] is the use of third-party information or documentation to establish the accuracy of statements on the application. Prior to determining eligibility

More information

Etowah County Board of Education Child Nutrition Program 3200 West Meighan Boulevard Gadsden, AL

Etowah County Board of Education Child Nutrition Program 3200 West Meighan Boulevard Gadsden, AL Etowah County Board of Education Child Nutrition Program 3200 West Meighan Boulevard Gadsden, AL 35904 256 549 7572 Dear Parent/Guardian: Children need healthy meals to learn. Etowah County Schools offer

More information

Tennessee Department of Human Services Family Assistance Application THIS BOX DHS USE ONLY Case #: Date received: County: Name.

Tennessee Department of Human Services Family Assistance Application THIS BOX DHS USE ONLY Case #: Date received: County: Name. Tennessee Department of Human Services Family Assistance Application THIS BOX DHS USE ONLY Case #: Date received: County: We will take your application with only your name, address, and signature if you

More information

Lewis and Clark. Montana Poverty Report Card

Lewis and Clark. Montana Poverty Report Card 1 County Poverty Report Card June 216 Summary he poverty rate for County increased from 9.7% in 21 to 1.4% in 213. For the month of December in 211 and 214, the county s unemployment rate decreased from.3%

More information

FY18 Federal Special Education Preliminary Estimates District FY18 IDEA 611 IDEA 619 Preschool Parent Mentors TOTAL FY18 TOTAL FY17 District Name

FY18 Federal Special Education Preliminary Estimates District FY18 IDEA 611 IDEA 619 Preschool Parent Mentors TOTAL FY18 TOTAL FY17 District Name 601 Appling County $ 713,431 $ 31,784 $ 12,500 $ 757,715 $ 759,745 602 Atkinson County $ 349,156 $ 19,746 $ - $ 368,902 $ 368,943 603 Bacon County $ 407,773 $ 17,970 $ - $ 425,743 $ 433,200 604 Baker County

More information

ENERGY ASSISTANCE PROGRAM (EAP) APPLICATION AND DECLARATION STATEMENT. Name: Date of Birth: Home Address: Home Phone #: Work Phone #:

ENERGY ASSISTANCE PROGRAM (EAP) APPLICATION AND DECLARATION STATEMENT. Name: Date of Birth: Home Address: Home Phone #: Work Phone #: COUNTY OF LOS ALAMOS NE W M E X I C O Los Alamos Dept. of Public Utilities 1000 Central, Suite 130 Los Alamos, NM 87544 505.662.8333 fax 505.662.8005 www.losalamosnm.us/utilities 311@lacnm.us APPLICANT

More information

SNAP & WIC FOOD ASSISTANCE PROGRAMS

SNAP & WIC FOOD ASSISTANCE PROGRAMS SNAP & WIC FOOD ASSISTANCE PROGRAMS 12/4/17 RESOURCE GUIDES The following resource guides go in-depth about the eligibility requirements for the SNAP Food Stamps program and the Women, Infant and Child

More information

Byrd Accounting Tax Year Client Questionnaire

Byrd Accounting Tax Year Client Questionnaire 2017 Tax Year Client Questionnaire To better serve you and help us to prepare your return correctly, please complete information below. Today s Date: Name: Spouse s Name: Please Print SS#: Birthdate: Contact

More information

Massachusetts Department of Transitional Assistance

Massachusetts Department of Transitional Assistance DTA - DPC P.O. Box 4406 Taunton, MA 02780-0420 Massachusetts Department of Transitional Assistance Name: Address: City/Town: Your Monthly Report From To Name If your name, address or telephone is DIFFERENT,

More information

Welcome to Pine Grove Apartments. Thank you for your interest in our community.

Welcome to Pine Grove Apartments. Thank you for your interest in our community. PINE GROVE APARTMENTS 600 Carlton Rd., #111 Palmetto, Georgia 30268 Tel 770-463-2107 Fax 770-463-5952 TDD # 800-255-0135 Visit our website: apartmentspalmetto.com TO ALL PROSPECTIVE RESIDENTS: Welcome

More information

3101 Park Center Drive Suite 550 Room 503 Washington, DC Alexandria, VA (202)

3101 Park Center Drive Suite 550 Room 503 Washington, DC Alexandria, VA (202) Contract No.: 53-3198-6-017 Do Not Reproduce Without MPR Reference No.: 8370-056 Permission from the Project Officer and the Authors CHARACTERISTICS OF FOOD STAMP HOUSEHOLDS FISCAL YEAR 1998 February 2000

More information

Financial Affidavit Administrative Support Proceeding

Financial Affidavit Administrative Support Proceeding Child Support Program Financial Affidavit Administrative Support Proceeding BP Number: You are required by section 409.2563(13), Florida Statutes, to complete,

More information

Disaster SNAP (D-SNAP)

Disaster SNAP (D-SNAP) /w EPDw UJNjAxN Disaster SNAP (D-SNAP) 08/27/2010 Summary: Due to the recent flooding in Illinois the following counties have been declared federal disaster areas: Carroll, Cook, Dupage, JoDaviess, Ogle,

More information

FY19 Title I Allocation and Set Asides

FY19 Title I Allocation and Set Asides (FY19 601 Appling County $ 1,229,713 $ 5,816 $ 49,085 $ 1,284,614 $49,340 $12,846 3.75 $46,431 602 Atkinson County $ 786,161 $ 3,972 $ 31,171 $ 821,304 $0 $8,213 4.12 $32,498 603 Bacon County $ 758,895

More information

1. Is likely to be received in the next month, or 2. Was received on a regular and predictable basis in past months.

1. Is likely to be received in the next month, or 2. Was received on a regular and predictable basis in past months. TITLE: OVERVIEW OF INCOME REQUIREMENTS Procedure No: 5.01 Page Number: 1 of 10 PURPOSE: To define countable and exempt income for purposes of determining a client s level of financial assistance. GUIDELINES/PROCEDURES

More information

Income Certification for SHIP Applicants

Income Certification for SHIP Applicants Income Certification for SHIP Applicants sponsored by Florida Housing Finance Corporation Catalyst Program Michael Chaney (850) 980-1307 chaney@flhousing.org Our Thanks to the Florida Housing Catalyst

More information

Instructions: Please follow carefully - Incomplete applications will be returned

Instructions: Please follow carefully - Incomplete applications will be returned North Carolina TTY Relay Service (800) 735-2962 Instructions: Please follow carefully - Incomplete applications will be returned 1. Complete all areas. If an item does not apply to you, mark N/A on that

More information

QUESTBRIDGE 2019 IncomE and assets GUIDE

QUESTBRIDGE 2019 IncomE and assets GUIDE QUESTBRIDGE 2019 income and assets guide GLOSSARY: INCOME AND ASSETS In the Income and Assets section of your application, you are required to answer financial questions about the parents, step-parents,

More information

Tables Describing the Asset and Vehicle Holdings of Low-Income Households in 2002

Tables Describing the Asset and Vehicle Holdings of Low-Income Households in 2002 Contract No.: FNS-03-030-TNN /43-3198-3-3724 MPR Reference No.: 6044-413 Tables Describing the Asset and Vehicle Holdings of Low-Income Households in 2002 Final Report May 2007 Carole Trippe Bruce Schechter

More information

THE PAIUTE INDIAN TRIBE OF UTAH 440 North Paiute Drive Cedar City, Utah (435) Fax (435)

THE PAIUTE INDIAN TRIBE OF UTAH 440 North Paiute Drive Cedar City, Utah (435) Fax (435) THE PAIUTE INDIAN TRIBE OF UTAH 440 North Paiute Drive Cedar City, Utah 84721 (435) 586-1112 Fax (435) 867-1514 SLIDING FEE DISCOUNT POLICY AND PROCEDURE March 7, 2013 Revised April 15, 2015 Policy: A

More information

Birth date (month/day/year) Place of birth Your Medicare claim number (if any)

Birth date (month/day/year) Place of birth Your Medicare claim number (if any) State of Maine Department of Health and Human Services (DHHS) Application For MaineCare, Food Supplement and Other Benefits Application for: MaineCare Full Benefits Low Cost Drugs (DEL) / MaineRx Plus

More information

Bulletin TOPIC PURPOSE CONTACT SIGNED TERMINOLOGY NOTICE NUMBER # DATE OF INTEREST TO ACTION/DUE DATE EXPIRATION DATE.

Bulletin TOPIC PURPOSE CONTACT SIGNED TERMINOLOGY NOTICE NUMBER # DATE OF INTEREST TO ACTION/DUE DATE EXPIRATION DATE. Bulletin NUMBER #-17-01-01 DATE August 25, 2017 Supplemental Nutrition Assistance Program (SNAP) Clarifications to Work Registration Process, Exemptions, ABAWDs, SNAP E&T sanctions, Banked Month Guidance

More information

SLIDING FEE SCALE APPLICATION FORM

SLIDING FEE SCALE APPLICATION FORM SLIDING FEE SCALE APPLICATION FORM Today s Date Name Date of Birth Address City State ZIP Code Home Phone Work Phone Cell Phone Would you like to schedule an appointment with a Certified Enrollment Counselor

More information

Please complete and return to: Monroe County Habitat for Humanity 354 Memorial Blvd Tobyhanna,PA Phone: (570)

Please complete and return to: Monroe County Habitat for Humanity 354 Memorial Blvd Tobyhanna,PA Phone: (570) Monroe County Habitat J I I for Humanity Please complete and return to: Monroe County Habitat for Humanity 354 Memorial Blvd Tobyhanna,PA 18466 Phone: (570) 216-4390 Dear Applicant, Thank you for your

More information

Transitions. From the Commissioner. Dear Colleagues:

Transitions. From the Commissioner. Dear Colleagues: Transitions January 2010 INSIDE THIS ISSUE: Quality Corner 3 From the Forms File 3 From the Hotline Index 4 Cultural Communication 6 Work Program Requirement Expansion SNAP Program Access Review Community

More information

Chapter 5. Eligibility Determination Process. This chapter covers the eligibility process pertaining to HCRA. It covers the following in detail:

Chapter 5. Eligibility Determination Process. This chapter covers the eligibility process pertaining to HCRA. It covers the following in detail: Chapter 5 Eligibility Determination Process This chapter covers the eligibility process pertaining to HCRA. It covers the following in detail: A. The documents that are to be provided and used to verify

More information

NSP Eligibility Application

NSP Eligibility Application NSP Eligibility Application The City of Mesquite has funded the purchase and rehabilitation of foreclosed upon or vacant single-family homes using a Neighborhood Stabilization Program (NSP) grant received

More information

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER

JOYNER, KIRKHAM, KEEL & ROBERTSON, P.C INDIVIDUAL TAX ORGANIZER Please provide a copy of your 2013 federal and state tax returns, and complete pages 1 through 3. Other pages: complete only those sections that apply to you. Your Name SS# Occupation Birth Date Spouse

More information

Rx for Oklahoma P.O. Box 603 Jay, OK Phone: ext 34 or 29 Fax:

Rx for Oklahoma P.O. Box 603 Jay, OK Phone: ext 34 or 29 Fax: Rx for Oklahoma P.O. Box 603 Jay, OK 74346 Phone: 918-253-4683 ext 34 or 29 Fax: 918-253-6059 Email: lindaely@neocaa.org Email: lrutherford@neocaa.org Serving Craig, Delaware and Ottawa Counties Thank

More information

ALPINE SCHOOL DISTRICT

ALPINE SCHOOL DISTRICT ALPINE SCHOOL DISTRICT LUNCH AND BREAKFAST PAYMENT OPTIONS Payments for meals can be made to your school lunch manager, or at the Food Service Office, 490 North State, Lindon, Utah 84042 Payments may also

More information

MAKING THE MOST OF BENEFITS. Important eligibility information, income considerations, & deductions for Vermonters

MAKING THE MOST OF BENEFITS. Important eligibility information, income considerations, & deductions for Vermonters MAKING THE MOST OF BENEFITS Important eligibility information, income considerations, & deductions for Vermonters ELIGIBILITY Household Size Gross Monthly Income Limit 1 $1,832 3SQUARESVT GROSS MONTHLY

More information

Your children may qualify for free or reduced price meals if your household income falls at or below the limits on this chart.

Your children may qualify for free or reduced price meals if your household income falls at or below the limits on this chart. July 2018 Dear Parent/Guardian: Children need healthy meals to learn. Oak Park and River Forest High School offers healthy meals every school day. Breakfast costs $3.25; lunch costs $4.00. Your children

More information

COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 04/2018

COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 04/2018 COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 04/2018 The EFFECTIVE DATE of the changes is the same as the issuance date unless stated otherwise. 0005.12.12.01 (Forms/Handouts

More information

I: Student Non-Tax Filers:

I: Student Non-Tax Filers: South Georgia State College University System of Georgia Dependent Student s 2015 Verification Worksheet (V1) Office of Financial Aid 100 West College Park Drive Douglas, GA 31533 (Douglas) 2001 South

More information

Workforce Investment Board (WIB) of Northwest Georgia, Inc., Noon~ Wednesday, May 20, 2015 Georgia Northwestern Technical College- Calhoun, GA

Workforce Investment Board (WIB) of Northwest Georgia, Inc., Noon~ Wednesday, May 20, 2015 Georgia Northwestern Technical College- Calhoun, GA Workforce Investment Board (WIB) of Northwest Georgia, Inc., Noon~ Wednesday, May 20, 2015 Georgia Northwestern Technical College- Calhoun, GA Attendance - WIB WIB Members Present, County: Lisa Adkisson,

More information

INDEPENDENT VERIFICATION WORKSHEET

INDEPENDENT VERIFICATION WORKSHEET 2017-2018 INDEPENDENT VERIFICATION WORKSHEET Your 2017 2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says we may ask to confirm

More information