Snap Louisiana Form PDF Details

The Snap Louisiana form is the Application for Assistance, form OFS 4APP (Rev. 03/26), issued by the Louisiana Department of Health (LDH). One form may be used to apply for SNAP (Supplemental Nutrition Assistance), FITAP (Family Independence Temporary Assistance), and KCSP (Kinship Care Subsidy), or for SNAP alone. The file opens with the OFS 4I information sheet (Rev. 02/26) on how to apply, verification, rights and responsibilities, and penalties. The application begins with the programs applied for, the name, address, and signature that establish the application date, and the expedited SNAP questions. Sections A through H ask about you, any authorized representative, other household members, household circumstances, work, other income, expenses, and resources; one page is for FITAP or KCSP only. It closes with the signature page, how to submit the form (upload, mail, in person, or fax), and a voter registration declaration.

QuestionAnswer
Form NameSnap Louisiana Form
Form Length23 pages
Fillable?Yes
Fillable fields613
Avg. time to fill out5 min 45 sec
Other namessimplified report application, dcfs louisiana simplified report form, simplified report, dcfs simplified report form