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Food Assistance



Food Stamps Brochure (#313):

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WIC:

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Nutrition Education:

Financial

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ORS/Child Support:

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Adoption Assistance:

D34314000242729

Child Care

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For more information: jobs.utah.gov/occ/index.html



Transferring Child Care Benefits with Interactive Voice Response (IVR):

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Search for quality child care:

RIGHTS AND RESPONSIBILITIES

YOUR RIGHTS



You have the right to be treated fairly and with courtesy, dignity, and respect.

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You have the right to an interpreter.

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The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for

employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where

applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's

income is derived from any public assistance program, or protected genetic information in employment or in any program

or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment

activities.)



If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination

Complaint Form, found online at , or at any USDA office, or call

(866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form.

Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of

Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at

program.intake@usda.gov.



Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay

Service at (800) 877-8339; or (800) 845-6136 (Spanish).

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For any other information dealing with Supplemental Nutrition Assistance Program (SNAP) issues, persons should

either contact the USDA SNAP Hotline Number at (800) 221-5689, which is also in Spanish or call 1-866-526-3663 or

1-800-371-7897; found online at



USDA is an equal opportunity provider and employer.



In accordance with Federal law and U.S. Department of Health and Human Services (DHHS) policy, this institution is

prohibited from discriminating on the basis of race, color, national origin, sex, age, sexual orientation, gender identity, or

disability. To file a complaint of discrimination, visit



Title VI of the Civil Rights Acts of 1964 allows us to ask for racial/ethnic information. You do not have to give us racial/ethnic

information. If you do not want to give us this information, it will have no effect on your case. If you do not give us the

information, the worker will enter an answer. This information is collected to ensure program benefits are issued without regard

to race, color, or national origin.



You have the right to apply or reapply any time for any of the assistance programs offered by the Department of Workforce

Services (DWS). Applications for CHIP, the Primary Care Network program (PCN), and UPP are only accepted during open

enrollment periods.



You have the right to know if your application was approved or denied and the reasons for the decision.



For Food Stamps - benefits must be available to eligible household members no later than 30 days from the date of

application.



For Medicaid, Financial and Child Care assistance, a decision will be provided within 30 days. If a disability decision is

required for Medicaid approval may take up to 90 days.

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For PCN/UPP/CHIP, a decision will be provided within 30 days.



Your application will be considered for all programs selected. You may receive separate approval and/or denial notices

based on the individual program rules on your application.



You have the right to know if your assistance is reduced or ended. For Food Stamp benefits, there is one important exception to

this rule. You will not receive advance notice of a Food Stamp benefit decrease if approved for financial assistance.

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If you are in an institution and apply for Food Stamps and SSI at the same time, the filing date for Food Stamps will be the date

of release from the institution.

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Dws-Esd 61app - Application For Food Stamps, Financial Assistance, Child Care, And Medical Assistance - 2014 Page 27

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