This number represents the approximate days to process applications. Federal regulations mandate that we process applications for SNAP within 30 days. Several factors, including obtaining required documentation, may cause a delay in processing applications. Benefits are being issued through September. Emergency allotment: A temporary increase in food benefits authorized by the federal Food and Nutrition Services.
Receive an email when this benefit page is updated:. Answer these questions to see if you may be eligible for this benefit. Citizen U. National Non-Citizen legally admitted to the U. S Other. State or Territory do you live?
Yes No. Child ren. None of the above. What do I do next? Didn't find what you were looking for? Take our Benefit Finder questionnaire to view a list of benefits you may be eligible to receive. Start Benefit Finder. Was this page helpful? Federal Government USA. The interview may be in person or over the phone. Before you can get benefits, the local office may need to get proof of some of the answers you have given.
They will call you or send a letter about this. Even if you don't have these items with you, please continue with the application. The local office can get the things they need later. Please right click to open examples of proofs and costs in a new window. Please click for more about Food Benefits You will get an answer about your application within 30 days of your filing date.
Before you complete your application, you must read the Rights and Responsibilities section and sign the application form. Who will be filling out this application? Please select one: Required I am applying for myself or for someone in my household or both. I am applying for another individual not in my household. Please tell us who you are:. If you are filling out this applicant for someone else, please answer all of the questions based on the applicant's situation.
You will be asked the questions as if you are the person applying for benefits. For example "How much do you make per month? About Yourself. Tell us about the person you are completing the application for. Suffix: Please Select One. Gender: Required Please Select One. Date Of Birth: Required. Select each of the programs you are applying for: Required Food Benefits. Please note: At least one person in the household must apply for benefits.
Please tell us how we can get in touch with you. For the phone numbers, please be sure to include area codes. If you do not have one of the items we ask for, just leave it blank. Home Phone:. Cell Phone:. Message Phone:. Work Phone:. State: Required. Do you live at the above address? Required Yes. I am homeless right now. Please tell us where you are staying. This can be a shelter or someone else's address. Street: Required. After you apply for benefits, you will get notices from your worker.
What language do you prefer for written materials? What language do you prefer to speak? Do you need materials sent to you in a different format? Does anyone else live in your home? Please tell us about the other person:. Date Of Birth:. I do not know their date of birth. Enter the person's age: Required. You've told us the following people live with you. Please tell us how each person is related. How Related? Do these two people buy or share food?
Please tell us which person has the primary responsibility for the child's care. Not a child care provider. Child's Name Required. Caretaker Required. This application shows that no one is applying for any benefits! You must mark someone as applying for benefits to continue.
Use the edit buttons to change the benefit choices. You are trying to apply for medical benefits only. Are you sure you want to delete this person?
Click on the ADD button if you want to add another person. Additional Case Information. Is anyone in your home a migrant or seasonal farm worker? Did all income for the household stop in the last 30 days? Liquid resources are cash on hand, checking or savings accounts. An authorized representative is a person who can apply for benefits for you. Do you want to choose someone to apply for or report changes for you? I want the person I name below to represent me in my application and reviews. This includes signing the application for me.
This person can give information and proofs that may be needed to complete my application for benefits. I will give this person information that is true and correct to the best of my knowledge. Street or PO Box:. State: Please Select One. Zip Code:. This person will need to show identification at the local office to get the card. I want the person named above to get an Oregon Trail card to use my benefits for me. They will get an Oregon Trail card that lets them use your benefits for you.
Do you want to choose another person to use your benefits for you? Please select a summary page to edit a previously completed section:.
Please Select One Household Summary. What is an authorized representative? What is an alternate payee? If you are applying for someone else, and not for yourself, we do not need your SSN or citizenship status. We will not contact immigration services for anyone not seeking benefits. Your SSN will be used to verify your income, other assets, and to match with other state and federal records such as IRS, Medicaid, child support, Social Security and Unemployment benefits.
DHS may use your SSN to prepare aggregate information or reports requested by funding sources for the program you apply for or receive benefits. To conduct quality assessment and improvement activities. To verify the correct amount of payments and recover overpaid benefits.
To make sure you get the correct benefits. No, please explain in the interview. I don't know the number. An SSN is needed for each person who wants benefits. We do not need your SSN if you are not applying for yourself. Have you ever applied for one? SSN: Required. Is a resident of Oregon? Where does live?
Required Please Select One. Where was born? Other place born: Required. Is a United States Citizen? We check the immigration status of people who want benefits.
If you want to get benefits, please show your Immigration papers to DHS. These papers help us decide if you are eligible for benefits. Immigration will confirm your papers for us. We will not contact immigration for anyone who does not want to get help. How was admitted to the United States? Date admitted to United States? Please tell us about 's ethnicity and race. If you choose not to give this, please select "I choose not to respond" in the drop downs.
It will not affect your eligibility. Choose ethnicity from the dropdown below: Required Please Select One. Choose race using the checkboxes below. Select all that apply. Required Asian. Native American or Alaskan Native.
Native Hawaiian or Pacific Islander. Did receive benefits in another state in the last 30 days? What type of benefits? Required Food. Child Care. Other Benefit: Required. What state? Please Select One. Oregon has a 3 month time limit for SNAP benefits. This time limit is for most adults age 18 but not yet 50, who are able to work, when there are no children in the home. They can get SNAP for only 3 months in a 3-year period.
Is a student? This includes classes a person is enrolled in via the Internet or correspondence. Name of School Required. Type of School: Required High school.
Full or part time student? Part time. Full time. Special rules apply to students. Click More Info to learn more about students. Is working in a state or federally funded work-study job? Is enrolled in classes at the request of their employer? Is in a program serving displaced workers? Does have a severe disability expected to last 12 straight months or have a condition that could be life-threatening? Is a current military service member or veteran of military services? Would you like to be contacted by the Department of Veteran's Affairs regarding other resources that may be available to you?
Does receive food benefits from a tribe? Does have an outstanding arrest warrant? Please select all of the job situations that apply. Required Has a job right now Not self-employed.
Is self-employed. Job ended in last 30 days. Is starting a new job in 30 days. Is on strike from a job. None of the above. Examples of types of self-employment are: Newspaper carrier Cosmetic sales Plasma sales Picking up bottles and cans Real estate agents Child care providers paid by the State of Oregon There are other types of self-employment.
Is working in another job? Are you sure you want to enter this job income information? You have told us that has a job. Please tell us more about this job here. You have told us that has another job. Please tell us more about the other job here. Name of Employer? Contact phone number, if available include extension. What was the start date for this job?
How often is paid? Please explain how you are paid:. How is paid? Please tell us about the total gross amount that gets paid each pay period before taxes or anything else is taken out of the paycheck. Salary amount. Please tell us the amount that is paid each hour.
Hourly rate of pay. Please tell us how many hours works each week at this rate. If the hours are not regular, try to estimate the number of hours usually works at this hourly rate.
If there is more than one rate of pay, please tell us about that in the Additional Pay section. Hours per week. Does get additional pay? Please tell us about additional pay. Weekly amount? Weekend or Shift differential. Vacation pay including cash out lump sum. Please explain:. How much did get in gross income this month?
How much did get in gross income last month? Do you expect next month's income to be the same? Why will it be different? Does get paid with goods and services instead of money? What is received? Does have another self-employment business? Are you sure you want to enter this self-employment income information? Self-employment means you are being paid for doing work, but you don't have a regular employer other than yourself who takes a paycheck and takes out taxes.
Perhaps you have your own company with a separate bank account, or perhaps you do odd jobs for people who pay you in cash. We need to know about the money that has already been paid or that will be paid this month. Use the gross income totals before taxes and deductions. Please answer the questions below to tell us more about this self-employment. You have told us that has another self-employment business.
What type of business do you run? Please explain what type of business you run. Name of the business. Is this business incorporated? Are you a partner? Did you file taxes last year for this business? Do you expect this year's income to be about the same?
How much money did the business make before any expenses, taxes or costs last year? How much money came into or is expected to come into the business before costs or expenses this month?
How much money came into the business before costs or before expenses last month? How many hours a week does work in this business? Your worker may ask for documents to show business income and costs. These may be tax returns, business ledgers or other proofs you have.
Do you have business costs? Please give more information about the business costs. Costs are things that must be paid or purchased in order to conduct business. Check all that apply. Labor wages paid to an employee or work contracted out.
Raw materials used to make a product and stock inventory. Materials purchased for resale, such as Avon products. For newspaper carriers, this includes the monthly cost of newspapers, bag, and rubber bands. Payments on the income-producing property, such as real estate, equipment, machinery or durable goods. Insurance premiums, taxes, assessments and utilities paid on business property.
Service, repair, and rental of business equipment including motor vehicles and property that is owned, leased or rented. Advertisement and business supplies. Licenses, permits, legal, or professional fees.
Transportation costs to haul equipment, inventory or supplies to work sites or delivery. Commuting expenses to and from the worksite are not part of the business expense. Charges for telephone service that is not used for home and can be verified as a necessary cost for the business. Meals and snacks provided by family child care providers. Did have another job that ended in the last 30 days?
Are you sure you want to enter this past job income information? You said had a job that ended in the last 30 days. Please give more information about that job. You have told us that has another job that ended in the last 30 days. Please tell us more about the job here.
Employer phone number, if available include extension :. Last day worked: Required. Date of the final paycheck: Required. Amount of the final pay before taxes :. Why did the job end? Please specify:. Will begin to work in another job in the next 30 days? Are you sure you want to enter this future job income information? You stated will start a job in the next 30 days. You have told us that has another job that will begin in the next 30 days.
Start date for this job:. What is the expected monthly income before taxes and payroll deductions? How often will get paid?
Please explain how often you will get paid:. How are you paid? By pay period, we mean the time between each paycheck. Salary amount:. If the hours are not regular, try to estimate the number of hours he or she usually works at this hourly rate. Is on strike from another job?
Are you sure you want to enter this strike income information? You said is on strike. Please tell us more. You have told us that is on strike from another job. Before the strike, what was the monthly income before taxes and payroll deduction? When did the strike begin? Does receive strike benefits? Monthly amount:. Does own or have their name on any of the following. Please provide as much information as possible below:. Checking Accounts Yes. Savings Accounts Yes. Stocks Yes.
Bonds Yes. Retirement Accounts Yes. Other Yes. Does anyone have any items of value Examples: car, truck, boat, etc Yes. Is anyone buying, or an owner of, real estate, land, or buildings you are not living on? Next, please tell us about any money received from any sources other than a job or self-employment.
This could be money received monthly, like child support or social security, or it can be money received quarterly or yearly like tribal benefits or dividends.
You told us that has a disability but did not report disability income. If is receiving disability income please add this income to specific source of money group found below. Please check each source of money receives. Other - Please Specify. Will receive any other? You told us that has Please tell us more. What is the total monthly amount of before any deductions will receive this month? How often does get this money? How often:. Will the money from this source be the same amount next month?
Does have an overpayment or other deductions being taken out of this money? Are you sure you want to delete this job? Are you sure you want to delete this unearned income? Are your monthly rent and utility payments more than your monthly income and money in your bank accounts?
Does anyone in your household pay for housing? This includes rent, space rent, mortgage, second mortgage, condominium fees, and association fees. Please enter all of the housing costs that apply. Do you get help to pay housing from HUD or Section 8?
What do you pay? Do you expect to pay the same amount for housing next month? What is the new amount? If you have reported that you have no income, how are you paying for your expenses? Does anyone help pay for part of your housing? Does anyone else help pay for part of your housing?
Phone Number:. Amount they pay? Do you pay utilities in addition to your housing costs? How is your home heated? The heating expense is?
What other kinds of utilities do you pay? Electricity not to heat. Gas not to heat. Propane not to heat.
Does anyone help pay for part of your utility costs? Does anyone else help pay for part of your utility costs? You will be asked to provide a copy of medical bills as proof of the costs.
0コメント