SNAP Paper Forms
Paper copies of some forms are still necessary. These are primarily informational brochures. Provide copies of the appropriate forms to customers as required. Not every form is required for each application.
To download the latest Word version of each form, or for instructions on form completion, see the Forms Manual on the employee intranet. Some forms or instructions are available in .pdf format. Links are provided below.
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Application for Supplemental Nutrition Assistance Program (SNAP)* |
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Application for Supplemental Nutrition Assistance Program (SNAP)* |
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Application for Supplemental Nutrition Assistance Program (SNAP)* |
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Application for Supplemental Nutrition Assistance Program (SNAP)* |
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Appointing an Authorized Representative |
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SNAP (Food Stamps) Summary to Determine Fitness for Work |
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Electronic Benefits Transfer (EBT) Available Date for Food Stamps on the Regular Payroll |
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| IM-31F | Applying for SNAP Benefits |
| IM-31F (Spanish) | Applying for SNAP Benefits |
| IM-4CC | Child Care Subsidy Brochure |
| IM-4CC (Spanish) |
Child Care Subsidy Brochure/Child Care Subsidy |
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Electronic Benefit Transfer (EBT) Brochure aka EBT (Electronic Benefit Transfer) Card |
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Electronic Benefit Transfer (EBT) Brochure aka EBT (Electronic Benefit Transfer) Card |
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Reporting Changes for SNAP Participants |
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Hearing Rights aka Hearings Information |
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Hearing Rights aka Hearings Information |
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SkillUP Brochure |
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SkillUP Brochure |
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SkillUP Flyer aka Do You Receive Food Stamp Benefits? |
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SkillUP Flyer aka Do You Receive Food Stamp Benefits? |
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| IM-39 |
Request for Employment Security Information – Outside of Missouri |
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Information Accessed from Kansas Department of Labor |
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Missouri Voter Registration Application |
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(HIPAA) Authorization for Disclosure of Consumer Medical/Health Information |
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| IM-2SR |
Signature Request Letter |
| IM-2MCR |
Mid-Certification Review Request (for incomplete or unsigned MCRs) |