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Get PA 600 2020-2024

Jobgateway. pa.gov/. Application for Benefits If you misrepresent hide or withhold facts which may affect your eligibility for benefits you may be required to repay your benefits and you may be prosecuted and disqualified from receiving certain future benefits. Or apply for one if they do not have one. This number may be used to check the information on this application. PA ACCESS Card only during the period I am eligible. I must use the EBT or the PA ACCESS Card only for the person who is eligible and may get only the benefits that are needed and reasonable. Benefits from the date of the notice to request a hearing if I do not agree with the decision made on this application. financial sources and other third parties. or apply for one if they do not have one. This number may be used to check the information on this application. PA ACCESS Card only during the period I am eligible. I must use the EBT or the PA ACCESS Card only for the person who is eligible and may get only the benefits that are needed and reasonable. benefits and/or explore private health care options through the Health Insurance Marketplace. If this is the case I authorize the department to give my name and information on this application to the Marketplace. La ayuda biling e ser gratuita. If you have a disability and need this application in large print or another format please call our helpline at 1-800-692-7462. TDD Services are available at 1-800-451-5886. You can apply online at www. compass. state. pa.us. PA 600 1/14 Family Safety Information About Your Benefits and Domestic Violence What is domestic violence Domestic violence happens when someone in your life harms you. Compass. state. pa.us and enroll on your My COMPASS Account. We can start your application as soon as you write your name and address and sign this application. We encourage you to answer as many questions as you can unless the instructions tell you that you can choose not to answer. The more complete information we have the faster we can process your application. If you are eligible SNAP benefits start from the date we receive your application. We will tell you within 30 days if you are eligible or not. Iii If a SNAP claim arises against your household the information on this application including all SSNs may be referred to Federal and State agencies as well as private claims collection agencies for claims collection action. iv Providing the requested information including the SSN of each household member is voluntary. However failure to provide an SSN will result in the denial of SNAP benefits to each individual failing to provide an SSN. Any SSNs provided will be used and disclosed in the same manner as SSNs of eligible household members. Prohibitions and Penalties IF THIS HAPPENS WITHOUT GOOD CAUSE THIS MAY HAPPEN PENALTY Misuse Electronic Benefits Transfer EBT Card or PA ACCESS Card. For more information about crisis intervention counseling accompaniment to police medical and court facilities temporary emergency shelter and prevention and education programs call The Pennsylvania Coalition Against Domestic Violence 1-800-932-4632 in PA 303-839-1852 National JobGateway - Important Information JobGateway is an initiative of the Pennsylvania Department of Labor and Industry to connect Pennsylvania job seekers and potential employers in support of the department s mission to improve the quality of life and economic security for Pennsylvania workers and businesses. The Labor and Industry staff is knowledgeable about current labor market conditions and can provide you with information and resources to meet your job search needs. All clients may use JobGateway. Please note that if you are applying for TANF Temporary Assistance for Needy Families cash benefits and you are 18 or older you are required to apply for at least three jobs per week while the application is pending unless You are already working 20 hours per week or You have verified you are exempt from work requirements or You have established good cause to not meet work requirements.

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