![]() citizen or alien in lawful immigration status and that the information provided is true to the best of my knowledge. ![]() I certify that each applicant included in my household is a U.S. The income and resources of all persons in your household will be considered in determining eligibility for persons included in the SNAP application. Non-citizens included in your application will have eligibility determined under SNAP rules. Such persons will not be reported to the Immigration and Customs Enforcement agency. Any non-citizens or non-qualified aliens may be left off your application for assistance. Only US citizens and qualified aliens are eligible for SNAP benefits. Has any member of your household been convicted of a drug-related felony that was committed since 08/22/96? “ Yes “Noįor information regarding the TANF Families First Resource Centers, contact 1 8 or visit our website at By signing and dating this application, I am giving consent for the attendance records of the children identified on this application to be disclosed by the Mississippi Department of Education to the Mississippi Department of Human Services for use by the Department of Human Services to determine compliance with school attendance requirements of the Temporary Assistance for Needy Families (TANF) Program. Is anyone in your household currently serving a SNAP disqualification due to fraud? “ Yes “Noħ. ![]() Is your household’s only income from migrant or seasonal farm work? “ Yes “NoĦ. How much money does your household have in cash, checking account and savings account? $_Ĥ Give the actual expense amounts: Rent/Mortgage $_Electricity $_Gas $_Water $_Phone $_ĥ. Has anyone in your household received any income (money, checks, gifts, etc) this month? “ Yes “Noĭoes anyone expect to receive income later this month? “ Yes “No If yes, how much? $_ YOU MAY GET SNAP WITHIN 7 DAYS if your household’s gross monthly income is less than $150 and your household’s resources such as cash, checking or savings accounts are $100 or less or if your rent/mortgage and utilities are more than your household’s combined gross monthly income and liquid resources or if you are a migrant or seasonal farm worker household and you verify your identity. We are required to verify information you provide and take action within 30 days from the date your application is received, unless you are entitled to receive benefits within 7 days. Benefits are provided from the day we receive this form in our office, if you are determined eligible. You may file your application immediately as long as we have your name, address and the signature of a responsible household member or your authorized representative. We are required to take action within 30 days from the day you give us this form. To begin your application, complete the above section and sign below. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) Household hardship, a face-to-face interview may be waived in favor of a telephone interview on a case-by-case basis. What benefits are you applying to receive?īefore we can determine your eligibility, you must be interviewed. ![]() Would you like to receive notices by email? SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM(SNAP) APPLICATION TEMPORARY ASSISTANCE FOR NEEDY FAMILIES(TANF) Landlord (Tenant) Recommendation Letter.
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