DTA forms

 DTA's brochure (in English and Spanish) describing resources available, within and beyond DTA, for low-income families. It is funded by TANF, and receipt of the brochure qualifies as a TANF service and makes a family categorically eligible for Food Stamps (SNAP). Does not include…

See attached.

Form for recertification of Food Stamps for people receiving Food Stamps through the Social Security Administration.

DTA's brochure on different programs available, inside and outside of DTA. Does not include information on EAEDC, TAFDC, or SSI.

TAFDC paper application. Or, apply for SNAP/ Food Stamps online: https://www.mass.gov/how-to/apply-for-snap-benefits-food-stamps More information about applying for cash assistance (TAFDC, EAEDC) is at DTA's…

DTA form for elderly noncitizens to verify disability so as to become eligible for Food Stamps (if they are not otherwise eligible).

Attached are the recently revised Child Care Referral notices (English and Spanish) and Field Ops Memo 2007-17 (3/26/07).  Under the new procedures, vouchers may be authorized by telephone and fax, but the CCR&R will most likely require therecipient to go to the CCR&R in cases of first…

A DTA pamphlet explaining how participants in BayState Cap can use their EBT cards to access food stamps benefits.  Originally attached to Field Ops Memo 2005-27.

DTA flier for clients on Bay State Cap Food Stamps.

Food Stamp/SNAP Work Requirement Medical Report Form:  This medical report form can be completed by a wide range of licensed medical, mental health, substance abuse providers to verify that the SNAP applicant or recipient is exempt from the work registration, job search and work…

Per Field Operations Memo 2006-53, this separate penalty warning signature page is only to be used to FS applications through SSI and for applications over the internet when an interview is subsequently conducted by phone. For all other FS applicants, the penalty warning should be part of the…

Form letter, in English and Spanish, sent to EAEDC recipients whom DES determines may be eligible for SSI benefits, requiring them to apply in order to remain eligible for EAEDC.

Sample notice announcing possible food stamp overpayment recovery from social security benefits though the TOP system (Treasury Offset Program)

RFA-1 (7/2001) English Spanish