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  • Hs 0169 Form

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Tennessee Department of Human Services Family Assistance Application THIS BOX DHS USE ONLY We will take your application with only your name, address, and signature if you are only applying for SNAP/Food.

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If the SNAP household is currently receiving benefits, a portion of their benefits will be withheld to pay back the SNAP overpayment. This is called benefit reduction. The SNAP household will receive a letter informing them of the SNAP benefit that they will receive after the benefit reduction is applied.

Who is eligible for Tennessee Food Stamp Program? Household Size*Maximum Income Level (Per Year)1$18,9542$25,6363$32,3184$39,0004 more rows

SNAP participants may apply to renew their benefits. Renewal requires completing a recertification application and may involve an interview and reverification. You will be notified of your recertification date and the associated submission requirements two months prior to the expiration of your current SNAP benefits.

For more information about this program, please visit the Tennessee Food Stamp Program webpage. You may contact the Family Assistance Help-Line with questions at: 888-863-6187 or 615-313-5790 for Nashville....Tennessee Food Stamp Program? Household Size*Maximum Income Level (Per Year)1$18,9542$25,6363$32,3184$39,0004 more rows

Your net income is your gross income minus any allowable deductions. And assets are "countable resources" like cash, money in a bank account, and certain vehicles. For fiscal year 2023 (Oct. 1, 2022 – Sept. 30, 2023), a two-member household with a net monthly income of $1,526 (100% of poverty) might qualify for SNAP.

Documentation needed can include: Copies of valid driver's licenses', social security numbers for everyone in the household, copies of utility bills, proof of residency, copy of rent/mortgage receipt, proof of income, copy of child day care expenses, and medical expenses ONLY if you are 60 and older and/or disabled.

You have three options to submit your Change Form: 1) Upload documentation online using the portal at fileupload.dhs.tn.gov 2) Deliver documentation to your local TDHS office 3) Mail verification documentation to: Family Assistance Division Department of Human Services, P.O. Box 620001 Memphis TN 38181.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232