Application For Food Distribution Form - 2013 Page 8
ADVERTISEMENT
1
2
3
4
5
6
7
8FOOD DISTRIBUTION PROGRAM ON INDIAN RESERVATIONS
The Food Distribution Program on Indian Reservations (FDPIR) is a program of the Food and Nutrition Service of the
U.S. Department of Agriculture. This program provides foods for good health to households living on or near Indian
reservations in approved FDPIR service areas. You may qualify to receive these foods if you have little or no earnings
or live on a fixed income such as social security, cash aid from social services, or TANF.
WHAT SERVICES WILL I RECEIVE IF I QUALIFY FOR THE PROGRAM?
•
On a monthly basis, a variety of basic foods such as meats, fruits and vegetables, dry beans and pastas, designed
to help you maintain a healthy diet.
•
Information about nutrition, proper storage of foods, and food preparation.
HOW DO I APPLY?
•
Pick up an application form at the Food Distribution Office for your reservation, or call the office and have one
mailed.
•
Fill out the form completely and honestly, return it to the office either by mail, fax, or in person, and arrange for
an interview at the Food Distribution Office, either by telephone or in person.
HOW IS MY ELIGIBILITY FOR COMMODITIES DETERMINED?
•
Income guidelines- Your eligibility for commodities is based on how much income, such as earnings or pensions,
you have after several deductions. 20% of earned income is deducted from your gross earnings. Additional
deductions from income can include expenses such as child care costs, child support payments, Medi-Care Part B
payments, excess housing/utilities costs, excess out of pocket medical costs (for
2016 MONTHLY INCOME
elder and disabled only)
STANDARDS
•
Unearned Income- Income such as MONTHLY tribal revenue sharing or per capita
(10/1/15-9/30/16)
payments, unemployment, disability, retirement, social security (other than SSI), or
1
$1,136
other forms of income not earned from a job are called unearned income, and must
2
$1,483
be reported as part of your monthly income.
3
$1,830
•
4
$2,189
Indian Certification- At least one member of your household must submit proof of
$2,565
5
Indian enrollment, or your household must submit proof that you reside on Indian
$2,941
6
reservation land within our service area.
$3,287
7
•
Only households with monthly income wihtin the allowable limits may qualify for
$3,624
8
For each additional member add
commodities. The amount of income you are allwed and the amount of food you
$347
can receive depends on the size of your household.
•
IF YOU ARE RECEIVING FOOD STAMPS OR SSI YOU ARE NOT ELIGIBLE TO RECEIVE
COMMODITY FOODS.
WHAT INFORMATION SHOULD I BRING TO THE OFFICE WHEN I AM INTERVIEWED?
•
Proof of income, such as checkstubs or a letter from Social Services, Social Security, or Tribe
•
Proof of the costs for childcare or other deductable payments
•
Proof of Indian enrollment
•
Social Security Number and Date of Birth for all household members.
FOR MORE INFORMATION CALL THE SHERWOOD VALLEY FOOD PROGRAM AT: (707) 456-1710
v. 2016.11.23.15
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal