Get MO 886-0460 2020

MISSOurI depArtmeNt OF SOCIAl ServICeS FAmIlY SuppOrt dIvISION AppLICATION FOr FOOD STAmp bENEFITS FOr FSd uSe ONlY mAIl-IN SECTION 1. Did your household receive Food Stamp benefits in missouri or another state this month SECTION 3 HOUSEHOLD mEmbErS provide your information on the first line. Mo. gov/fsd/fstamp/ or by calling 855-373-4636. UNDER THE LAWS OF THE STATE OF MISSOURI AND THE REGULATIONS OF THE UNITED STATES DEPARTMENT OF AGRICULTURE I HEREBY APPLY FOR FOOD STAMP BENEFITS. SIgNATUrE OF AppLICANT DATE SECTION 2 ExpEDITED SErvICE YOu mAY Be ABle tO reCeIve FOOd StAmp BeNeFItS WItHIN 30 dAYS OF tHe ApplICAtION dAte. rEqUIrED AppLICATION INFOrmATION legAl NAme lASt FIrSt mIddle dAte reCeIved/ApplICAtION dAte dCN WAlk-IN e-mAIl AddreSS OptIONAl HOme AddreSS Street CItY StAte zIp COde COuNtY mAIlINg AddreSS IF dIFFereNt FrOm ABOve I Am HOmeleSS prImArY pHONe NumBer Cell Home Work Other preFerred metHOd OF CONtACt Call text email Yes AlterNAte pHONe NumBer No mail texting is not available in all locations. Best day and time to call You have the right to apply for Food Stamp benefits at any time. this form must contain your name address and signature to begin the application process. You are encouraged not required to complete sections 2 through 6. Applications can be submitted in person by mail or fax. Interviews can be done face-to-face or by phone. Contact FSd to complete this by phone at 573-373-4636 or visit an FSd office to complete this in person* Your Food Stamp benefits are based on the date of your application* You establish your date of application when the office receives a completed section 1 of the application* Your filing date is the date we receive an application* However if you are in an institution and apply for Food Stamps and SSI at the same time your filing date is the date of release from the institution* You can choose an individual or facility to complete your application and/or manage your benefits on your behalf* this person or agency will act as your authorized representative. If you want an authorized representative complete the Authorized representative Form FA-6ArF and FS-6ArI available at http //dss. IF YOu ANSWer YeS tO ANY OF queStIONS 1-4 BelOW YOu mAY reCeIve FOOd StAmp BeNeFItS WItHIN 7 dAYS OF tHe ApplICAtION dAte. tHIS IS CAlled expedIted ServICe. expedIted ServICe IS NOt COmplete uNtIl YOur IdeNtItY IS verIFIed* YOU CAN INCLUDE A COPY OF YOUR IDENTITY WITH YOUR APPLICATION* 1. does your household have 100 or less available in cash and/or in a bank account accounts for this month whose liquid resources do not exceed 100 5. provide information on all of the people who live in your household. You must include any children under the age of 22 spouses and anyone who eats with you regardless of their citizenship or immigration status. eligibility varies for immigrants. Someone may be eligible even with immigration status. Citizenship status does not automatically disqualify an applicant from receiving Food Stamp benefits.