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TRANSCRIPT
IDENTITYEXPENSES
1-800-SAFENET
DHS 9774 (2/2010)
DHS: CHilDren, ADultS AnD FAmilieS DiviSion
Show proof and apply for SNAP.SuPPlemeNtAl NutritioN ASSiStANce ProgrAm, formerly the food StAmP ProgrAm
WWW.SNAP.OREGON.GOV
All persons applying for SNAP food benefits will need to provide proof of:
if you cannot find proof, ask your SNAP worker for help.
INCOME
You may qualify for more benefits if you pay child support, have medical expenses or other eligible expenses.
Examples of what you can show as proof of expenses:If you are paying child support, bring: •Courtoradministrativeorder
(to prove your legal obligation); and•Evidenceofwithholdingfromyour wagesorunemployment;orStatement from the custodial parent for your support payment.
If you have medical costs, bring: •Healthinsurancepolicy showingpremiumamount;
•Statementfromapharmacy;•Billingstatements;•Billsforavisitingnurse,
homemaker, home health aide, etc.;
•Itemizedreceipts;and/or•Bills/receiptsforprescribed
equipment, medical supplies, etc.
You need to prove all income sources for each person in your household.
Examples of what you can show as proof of income:•Employer’srecords/statements;•Self-employment
bookkeeping records;•Paystubs;•Taxrecords;•Awardletters(Veterans, financialaid,Bureauof IndianAffairs,etc.);
•Workers’compensationletter;•Statementfromanyonegiving youmoney(gifts/loans);and/or
•Unemploymentcompensation letter.
Showonepieceofidentityforthehead of the household and the alien status for anypersonwhoisnotaU.S.citizen.
Examples of what you can show as proof of identity:Showonepieceofidentitysuchas:•Driver’slicense/photo
identification card;•WorkorschoolIDcard;•CertificateofDegreeofIndian Blood(CDIB)orAlaskaNative;
•U.S.militaryrecord;•Wagestubs;or•Birthcertificate.
USDA is an equal opportunity provider and employer.