SNAP Application Assistance

SNAP Application Assistance - Request Form

To apply for SNAP call the SNAP Application Assistance Hotline toll-free at 1 (877) 760-0114 or leave your contact information and a trained SNAP agent will contact you to offer assistance applying for SNAP.

First Name

Last Name

Phone

Do not text me

For confirmation and to receive messaging related to your request, enter your preferred email.

Preferred Language

No PreferenceEnglishSpanishZomi

County of Residence

Preferred Time(s)

We cannot guarantee callback times. Hold CTRL to select multiple times.

Preferred Day(s)

We cannot guarantee callback days. Hold CTRL to select multiple days.

Instructions/Considerations

By submitting this form, you indicate that you have received permission from the person listed to submit this request. This information will be stored but will not be shared.