Food Stamp Form PDF Details

Navigating the intricacies of Food Stamp forms in Missouri, a Simplified Reporting State, encompasses a series of obligations for recipients, including timely change reporting and completing the Mid-Certification Review. These crucial steps ensure that Food Stamp customers remain compliant with state requirements, safeguarding their benefits. Immediate reporting of certain changes, such as an increase in household income or modifications in the employment status of Able-Bodied Adults without Dependents (ABAWDs), is mandatory. Failure to report these changes by the 10th day of the following month could lead to the necessity of repaying benefits to the Family Support Division (FSD). The Mid-Certification Review, a mandatory checkpoint halfway through a household’s benefit period, further validates the recipient's eligibility. Non-compliance with this requirement spells cessation of benefits until reapplication and subsequent approval. Additionally, the intertwined relationship with civil rights laws underscores the commitment to equitable access to Food Stamp benefits, irrespective of race, color, or national origin, among other protected statuses. This framework not only helps to manage the flow of benefits efficiently but also align with federal and state anti-discrimination policies, ensuring all eligible individuals have fair access to necessary food resources.

QuestionAnswer
Form NameFood Stamp Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfood stamp application pdf, food stamp application, download food stamp app, apply for mississippi food stamps online

Form Preview Example

How Food Stamp Customers Report Changes

Missouri is a Simplified Reporting State. This means Food Stamp customers must:

Report certain changes when they happen

Complete and return the Mid-Certification Review form

Reporting Changes When They Happen

Changes that you

If your household’s gross monthly earned income and your unearned income

must report

is higher than the amount allowed. Find that amount on the Action Notice

 

you received when approved or go to: http://dss.mo.gov/fsd/pdf/food-

 

stamp-changes-flyer.pdf

 

If you have an Able-Bodied Adult without Dependents (ABAWD) in your

 

household and that person is no longer meeting the 80 hours of work and/or

 

training required each month (For more information, go to

 

www.mydss.mo.gov)

 

 

When to report

By the 10th day of the next month after the change happens.

 

 

Why you must

You must pay back Food Stamp benefits to the FSD if:

report the change

The change wasn’t reported on time, and

 

The change would have lowered the amount of Food Stamp benefits

 

 

How to report

Call 1-855-FSD-INFO (1-855-373-4636)

 

OR

 

Visit any local FSD office. Find one near you at: http://dss.mo.gov/dss_map

 

OR

 

Submit a change report form online through the Missouri Benefits Center at:

 

www.mydss.mo.gov

 

 

Mid-Certification Review Form

 

What is a

 

The number of months a household is approved for benefits. Most households

 

Certification Period?

 

 

 

get either a 12-month or a 24-month certification period.

 

 

 

 

 

 

 

 

What is the Mid-

It allows Food Stamp customers like you to confirm or update information on a

 

Certification Review?

form FSD mails to you. The form is due halfway through your certification period.

 

 

 

Example: If a household is approved for 12 months of benefits, their

 

 

 

Mid-Certification Review form will be due in month 6.

 

 

 

 

When will FSD

In the month before the due date.

mail the form to me?

 

 

 

How do I complete

Update, sign, and return it.

the form?

 

 

 

What happens if I don’t

Your household will stop receiving Food Stamp benefits if you do not return the

return the form?

form. You cannot receive benefits again unless you reapply and are approved.

 

 

What happens if a

You must pay back Food Stamp benefits to the FSD if:

change is not reported?

The change wasn’t reported on time, and

 

The change would have lowered the amount of Food Stamp benefits

 

 

You can ask for a hearing

If the FSD changes or stops your benefits and you think the change is wrong, you can ask for a hearing. To do this, contact the FSD by phone or in person. See the How to reportsection above for ways to contact FSD.

Note: If your income goes down or your expenses go up, you do not have to report it to the FSD. However, you may want to report these changes, because it may increase the amount of Food Stamp benefits you are getting. If this happens, the FSD will send you a written notice of the change.

CIVIL RIGHTS LAW

In accordance with Federal civil rights laws and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD- 3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form letter to USDA by:

(1) Mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW Washington, D.C. 20250-9410

(2)Fax: (202) 690-7442

(3)Email: program.intake@usda.gov

This institution is an equal opportunity provider.

IM-4 FS/SR

(06/16)