DHS 1240 PDF Details

If you are unable to fill out the application now, just complete your name, address and signature below and turn it in.

Rest of the form: you must still answer the rest of the questions on the application form before benefits are issued.

Interview: you must be interviewed before you can receive benefits. A telephone interview may be conducted in lieu of an office interview.

Single interview: a single interview is sufficient when applying for SNAP and financial benefits.

Appointment: if you miss your appointment, or need to change it, you must call the local office to reschedule.

QuestionAnswer
Form NameDHS 1240
Form Length20 pages
Fillable?No
Fillable fields0
Avg. time to fill out60 min
Edition11/21
Issuing agencyState of Hawaii Department of Human Services
Who signsThe adult applicant
Matches the agency's fileYes, checked October 1, 2026
Other namesDHS 1240, DHS1240, Form DHS 1240, Hawaii SNAP application, Application for Financial and SNAP Assistance
Official sourceDHS 1240 (Rev 11/21), State of Hawaii Department of Human Services