Application For Assistance (Snap Application Form) - Maryland Department Of Human Resources Family Investment Administration

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FACTS YOU SHOULD KNOW ABOUT APPLYING FOR TEMPORARY CASH
ASSISTANCE, FOOD SUPPLEMENT PROGRAM (FORMERLY FOOD STAMPS)
AND MEDICAL ASSISTANCE
Social Security Numbers
You must give us a social security number for each family member who wants benefits.
If a person who wants benefits does not have a social security number, that person must apply for
a number. We can help applicants get their numbers.
If a family member has applied for a social security number, we will not delay your application
while you wait for the number.
We use social security numbers to prove income. We do not give numbers to other agencies like
Immigration and Naturalization.
Citizenship and Immigration Status
You must tell us about the citizenship and immigration status for each family member who wants
benefits.
Information
If a family member will not tell us about citizenship, immigration status or social security number,
that person will not get benefits.
They must still give us proof of income, expenses and other things.
The other family members who give us their information will get benefits if they meet the rules.
Emergency Medical Assistance
Immigrants who are not eligible for other kinds of medical assistance and apply only for
emergency medical assistance do not have to tell us their social security number, immigration or
citizenship status.
Time Limits
Temporary Cash Assistance has time limits.
The Food Supplement Program (formerly Food Stamps) and Medical Assistance do not have a
time limit.
When Temporary Cash Assistance ends because of time limits, earnings or other reasons, you
may still get Food Supplement benefits and Medical Assistance.
Interviews
You, a responsible family member or someone you choose to represent you must come into our
office for an interview.
If you have a serious problem, or if you are working, and you cannot come to our office for an
interview, we can interview you by telephone.
You must give or send us the proof we ask for at your interview.
If you need help
:
Applying for benefits, or
Have questions about information you must give us
Want to know what will happen to your benefits
Do not speak English and need free translation services
Call your case manager or call 1-800-332-6347
Si necesita ayuda para llenar el formulario favor de llamar al 1-800-332-6347.
DHR/FIA CARES 9701 Revised 9/09

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