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  • Application For Meal Services (fns-252-2) - Arizona Department Of ... - Azdes

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OMB APPROVED NO. 0584-0008 Expiration Date: 08/31/2017 USDA Supplemental Nutrition Assistance Program Application for Meal Services FOR USDA USE ONLY FNS Number: Date Authorized: Authorization Initials:.

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Proof of identity such as a driver's license, passport, birth certificate, or state-issued identification. The following verification when it applies to your household: Proof of earned income received this month and last month for all applicants who are working. Proof of self-employment income.

AHCCCS offers health insurance for adults age 19 to 64, who do not qualify for AHCCCS Medical Assistance (MA) in any of the following programs: Caretaker Relative; Pregnant Women; SSI-MAO (age 65 or older; blind or have a disability) and.

Emergency Food Assistance You can also call their toll-free phone number Mon-Fri 7am-5pm: 1 (855) 432-7587. If you need help with the application process, you can visit healthearizonaplus.gov, scroll down to Community Assistor, and click on Get Started.

The easiest way to apply for benefits is online through Health-e-Arizona Plus. You may also begin the application process by phone by calling 1-855-432-7587.

Complete and submit the Health-e-Arizona Plus application for AHCCCS Health Insurance, Nutrition Assistance, and Cash Assistance. View and confirm receipt of your application on-line. Fax your verification documents, and view and confirm your verification documents on-line. Renew your benefits on-line.

Eligibility for the Cash Assistance program is based on citizenship; qualified noncitizen resident status; Arizona residency; limits on resources and monthly income eligibility guidelines. Adults receiving Cash Assistance benefits are required to complete and sign a Personal Responsibility Agreement.

After deductions for income tax, shelter and medical expenses, your income must be less than the Federal Poverty Guidelines (FPG) for your household size, which means $1,133 per month for an individual, $1,526 per month for a couple, and an additional $393 for each additional household member.

Call: Hotline 1-800-251-2436, or locally at 602-542-9449.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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