Table of Contents

• SNAP Benefits
  • SNAP Benefits Applications 
  • SNAP Benefits Applications for Seniors 
  • SNAP Benefit Application (For Pure SSA Households) 
  • SNAP Program Brochure 
  • Help for Those in Need: A Resource Brochure 
  • Noncitizen Resource Brochure 
  • Your Right to Know Brochure 
  • What Noncitizens Need to Know Brochure 
  • Notice of Rights, Responsibilities and Penalties Brochure 
  • Multi-Lingual Form (Babel Card) 
  • Mail-In Agency Voter Registration Form 
  • SNAP-9B - Request for Replacement SNAP Benefits 
  • Request to Choose Someone to Be My Authorized Representative 
  • Permission to Share Information Form (PSI) 
  • SNAP Medical Expense Flyer 
  • Out-of-Pocket Medical Expenses Form 
  • SNAP Work Requirement Medical Report (FSPWR-WP-MED) 
  • Other Agency Certification of Shelter and Utility Costs 
• Transitional Aid to Families with Dependent Children (TAFDC)
  • Transitional Aid to Families with Dependent Children (TAFDC) Brochure 
  • Direct Deposit form 
  • Child Support Flyer 
  • Noncitizen Resource Brochure 
  • Good Cause Medical Statement 
  • High School Equivalency (HSE) Test Voucher Request 
  • Verification of Caring for the Disabled 
  • Requesting TAFDC Beyond the 24-Month Limit on Benefits Brochure 
  • Your Guide to Using DTA Connect Brochure 
• Emergency Aid to the Elderly Disabled and Children (EAEDC)
  • Emergency Aid to the Elderly Disabled and Children (EAEDC) Program Brochure 
  • Noncitizen Resource Brochure 
  • Application for Funeral and Final Disposition Benefit 
  • Authorization for reimbursement of interim assistance Initial claim or posteligibility case 
  • Direct Deposit form 
  • EAEDC Medical Provider Statement 
  • Your Guide to Using DTA Connect Brochure 
• Cross Programs
  • Client Feedback Form 
  • DTA Mail/Fax Cover Sheet 
  • Voluntary Consent to Release Information 
  • Communication Options for DTA Clients who are Deaf or Hard of Hearing Flyer 
  • Client Assistance Coordinator Brochure 
• Outreach Materials (flyers, social media)
  • SNAP Outreach Flyers 
  • EBT Brochures 
  • HIP Outreach Materials 
  • Protect Your EBT Benefits Outreach Materials 
  • DTA Connect Outreach Materials 
  • DTA TAFDC Child Care Fact Sheet 
  • Save More of Your TAFDC/EAEDC Benefits Flyer 
  • Earned Income Tax Credit Brochure