The Food Stamp Application Alabama form is a crucial document for individuals and families seeking assistance through the Supplemental Nutrition Assistance Program (SNAP) in Alabama. This form allows applicants to provide essential information about their household to determine eligibility for food stamp benefits. If you need assistance, please fill out the form by clicking the button below.
The Food Stamp Application form in Alabama is a crucial document for individuals and families seeking assistance through the Supplemental Nutrition Assistance Program (SNAP). This form facilitates the application process by collecting essential information about the applicant's household, including names, addresses, and Social Security numbers. It also requires details about income, assets, and expenses, which are vital for determining eligibility. Applicants have the right to file on the same day they contact the Food Stamp Office, and benefits can be received retroactively from the date of application if eligibility is confirmed. The form outlines specific criteria for expedited services, enabling households with limited income and resources to receive assistance within seven days. Additionally, it emphasizes the importance of providing truthful information, as any discrepancies can lead to severe penalties, including disqualification from the program. The application also includes sections for listing household members and their details, as well as the option to appoint an authorized representative. Understanding the requirements and correctly filling out this form can significantly impact an applicant's access to necessary food assistance.
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When applying for food stamp benefits in Alabama, it’s essential to have all the necessary documents ready. This can help streamline the process and ensure that your application is complete. Below are some important forms and documents that are often used alongside the Food Stamp Application.
Gathering these documents ahead of time can make your application process smoother and more efficient. Remember, having the right paperwork is key to ensuring you receive the benefits you need. If you have questions about any of these documents, don’t hesitate to reach out for assistance.
Filling out the Food Stamp Application in Alabama is an important step toward receiving assistance. After completing the form, you will submit it to your local Food Stamp Office. They will review your application and schedule an interview to determine your eligibility for benefits. Here are the steps to follow when filling out the application:
There are several misconceptions surrounding the Food Stamp Application form in Alabama. Understanding these can help applicants navigate the process more effectively. Here are five common misconceptions:
Many believe that the application must be fully completed before it can be submitted. In reality, you only need to provide your name, address, and signature to file an application. The interview will help determine your eligibility.
Some people think they must wait to apply after their initial contact with the Food Stamp Office. However, you have the right to file an application on the same day you reach out for assistance.
While providing Social Security Numbers is mandatory for all household members, those without a number can still apply. They will be referred to the Social Security Office to obtain one.
Some individuals assume that any income disqualifies them from receiving benefits. In fact, eligibility is determined by a variety of factors, including household size and expenses, not just income alone.
Many fear that the application process is daunting. While there are necessary steps to follow, the process is designed to be straightforward. With the right documents and information, applicants can complete it efficiently.
AGENCY USE ONLY:
DATE RECEIVED
State of Alabama
FS Case Number ___________________________
BY COUNTY
Name ______________________
Department of Human Resources
Race/Sex _______
IEVS Function ______
Food Stamp Application
Check Digit _____
Process Std. ________
FA Case No. ____________________
Appointment Date _____________ Time _________
You have the right to file an application the same day you contact the Food Stamp Office. To file an application, you need only complete your name, address, and signature, and turn this form into the county Food Stamp Office where you live. We will interview you to decide if you are eligible. You will receive benefits from the date we received your signed application if you are determined eligible.
YOUR NAME (First, Middle, Last)
Birth date (Mo., Day, Yr.)
Social Security Number
Mailing Address
Street Address, if different
City
State
Zip Code
Telephone/Message Number during
the day
Expedited Services
You may get food stamps benefits within 7 calendar days if: your food stamp household has less than $150 in monthly gross income and liquid resources such as cash, checking or savings accounts are less than or equal to $100 or; your rent/mortgage and utilities are more than your household’s combined monthly income and liquid resources or;
a member of your household is a migrant or seasonal farm worker.
1.How much money do the members of your household have in cash or a bank account? $__________________
2.What is the total amount of income you expect your household to receive this month? ___________________
3.What is your current monthly rent/mortgage payment? $________Utilities other than phone? $______________
4. Is anyone in your household a migrant or seasonal farm worker? Yes No
If yes, answer these questions: Did all of your household income stop recently? Yes
No
Does anyone in your household expect to receive income from a new source this month?
Yes No How
much?____________
In accordance with Federal law and U. S. Dept. of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimination, write: USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410 or call (800) 795-3272 (voice) or (202) 401-720-6382 (TTY) USDA is an equal opportunity provider and employer.
Penalty Warnings, Perjury Statement and Signature
When your household receives food stamp benefits, you must follow all the rules. You must provide true and complete information about everyone in your household and you must provide documents to prove what you say if you are asked to by the worker. The Social Security numbers for all household members will be used in computer matches with other agencies in determining eligibility for food stamps. Any member who breaks any of the rules on purpose can be barred from the Food Stamp Program for one year to permanently, fined up to $250,000, imprisoned up to 20 years or both. S/he may also be
subject to prosecution under other applicable federal and state laws. There are also penalties if any household member is found guilty of using food stamp benefits to purchase illegal drugs or firearms.
♦Do not trade or sell food stamp benefits or EBT cards.
♦Do not use someone else’s food stamp benefits, identification card or EBT card for your household. ♦ Do not give false information or hide information to get or continue to get food stamps.
I certify under penalty of perjury that my answers to all questions about each household member, including those about citizenship or alien status, are correct and complete.
Household Member Signature or mark (X)
Date
Witness if Signed with X
DHR-FSP-2116
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Household Members
INSTRUCTIONS: Please print clearly. List everyone in your household that you are asking to get food stamps benefits for. Your spouse and any children under age 22 must be included with you in your household. Answer all questions for each household member.
Verification of information about all household members may be required. Some of the things you should bring to your interview include: proof of identity( driver’s license, birth certificate), check stubs, proof of unearned income ( child support, social security, or SSI), rent receipts, medical bills , bank statements, and day care receipts. We will tell you what we need to finish your application during your interview.
Relation
Social
U.S.
In
Working
Name (First, Middle, Last)
of
Sex
Race Security
Citizen
School
to you
Birth
M/F
Number
Yes No
1.
2.
3.
4.
5.
6.
7.
List any other people who live in the same house with you but you do not want included in your food stamp household because they do not purchase and prepare food with you. (Use another sheet of paper to add other people if there is not enough room for everyone here.)
Name
Age Relation
Does this Person give you
Does this person pay any part of
or anyone listed above any
the household bill?
money?
No Yes
Reason
No Yes What bill(s)?
Authorized Representative
You may appoint someone outside your household to act for your household to make an application and to be interviewed. This person should know your household’s situation well enough to give any information needed to determine your eligibility for food stamps. You are still responsible for the information that anyone acting as your authorized representative gives, including any information that may be incorrect. If you want to appoint someone for this, write his/her name here:_______________________________________________________________________
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IMPORTANT INFORMATION ABOUT FOOD STAMPS
The information provided by the applicant in connection with the application for food stamp benefits will be subject to verification by Federal, State, and local officials to determine if such information is true. If any information is found to be untrue or incorrect, food stamps may be denied to the applicant and the applicant may be subject to criminal prosecution for knowingly providing incorrect information.
SOCIAL SECURITY NUMBERS
The submission of the Social Security Number (SSN) for each household member is mandatory under the Food Stamp Act of 1977 as amended by P. L. 96-58 (7 U. S. C. 2025F). The Social Security Number will be used in the administration of the Food Stamp Program to check the identity of household members to prevent duplicate participation and to facilitate making changes. Your SSN will also be used in computer matching and program reviews or audits to make sure your household is eligible for food stamps. This may result in criminal or civil administrative claims against persons fraudulently participating in the Food Stamp Program.
If you or anyone you are applying for does not provide a Social Security Number, the persons who do not provide a Social Security Number will not be eligible for benefits. If you or anyone you are applying for does not have a Social Security Number we will refer you to the Social Security Office to apply for one.
VERIFICATION
The information given on this application will be checked by using the State Income and Eligibility Verification System, other computer matching systems, program reviews and audits. This includes such information as receipt of Social Security benefits, Unemployment benefits, unearned income such as interest and dividends, and wages from employment. When
discrepancies are found, verification of this information may be obtained through contact with a third party such as employers, claims representatives or financial institutions. This information may affect your eligibility and level of benefits.
CITIZENSHIP AND IMMIGRATION STATUS
Only U.S. citizens and eligible immigrants may participate in the Food Stamp Program. Any household member who is not a citizen or permanent resident alien, may be left out of your food stamp household. The Food Assistance Division will check with the U.S. Citizenship and Immigration Service (USCIS) on all non-citizens you include on your application. We will not check on the non-citizens you do not include in your food stamp household but their income and resources may count in determining the eligibility and allotment for the other people included in the food stamp household.
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