Form Fa-001 - Application For Benefits Page 7
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31Visit
or call 1-855-HEA-PLUS (432-7587).
Do you need help with this application?
What are the rules and Penalties?
If you, your representative, or any household member hides information or gives false information
on purpose to get or continue to get Nutrition Assistance and/or Cash Assistance benefits that you are
not entitled to, that person will be subject to:
•
Criminal Prosecution
•
Fines
Imprisonment
•
Other penalties provided for by state and federal laws
•
If you get Nutrition Assistance and/or Cash Assistance, you must follow the rules below:
•
For Cash Assistance, it is Mandatory for you to cooperate with a fraud investigation. Failure to cooperate may
result in case closure and the termination of benefits within ten (10) days from the agency’s notice of
termination.
•
Do not make false statements or hide information. If you are not truthful, you may have to pay back DES for
benefits you receive and you may be taken to court.
•
Do not do anything dishonest to get benefits that you are not supposed to get.
•
Do not buy, sell, trade, exchange or otherwise transfer any Nutrition Assistance benefits or EBT card.
•
Do not buy containers with deposits for the purpose of discarding the product and returning the containers to get
cash refund deposits.
•
Do not sell products bought with Nutrition Assistance benefits to exchange them for cash or items other than
eligible food.
•
Do not buy products originally bought with Nutrition Assistance benefits to exchange those products for cash or
items other than eligible food.
•
Do not steal Nutrition Assistance or Cash Assistance benefits.
•
Do not use your Nutrition Assistance benefits to buy non-food items such as alcohol and tobacco.
•
Do not alter an EBT card.
•
Do not use someone else’s EBT card unless you are an authorized user approved by DES.
You or a household member will not be eligible to get Nutrition Assistance and/or Cash Assistance
benefits if you or the household member:
•
Is a fleeing felon or probation/parole violator.
•
Has been convicted or found guilty in a court of law of using or getting Nutrition Assistance benefits in a
transaction involving the sale of firearms, ammunition or explosives. This person can never get Nutrition
Assistance benefits again.
•
Has been found guilty of using or getting Nutrition Assistance benefits in a transaction involving the
sale of a controlled substance. This person is not eligible to get Nutrition Assistance benefits for 2
years for the first violation and permanently for the second violation.
•
Cash Assistance benefits will be sanctioned 50% for the first occurrence and 100% for the second occurrence if
any adult has voluntarily quit a job without good cause or has sold, possessed or used a controlled substance in
violation of ARS Title 13.
•
Knowingly breaks the rules to get Cash Assistance benefits. We will disqualify you from getting Cash
Assistance benefits for 6 months for the 1st offense, 12 months for the 2nd offense and permanently for
all other offenses.
•
Knowingly breaks the rules to get Nutrition Assistance benefits. We will disqualify you from getting
Nutrition Assistance benefits for 12 months for the 1st offense, 24 months for the 2nd offense and
permanently for the third offense. In addition you can be fined up to $250,000, imprisoned up to 20 years
or both. You and/or your household members may be subject to further prosecution under Federal laws
and an additional disqualification, of up to 18 months, may be ordered by a court.
•
Has committed and was convicted of a federal or state felony on or after August 23, 1996 for the possession,
use or distribution of a controlled substance.
FA-001 (10-17)
Page G
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