Rights and Responsibilities

Client Information Release Form

Your Rights

All Services

You have the right to:

  • Have information that you give during the application process be kept private and confidential.
  • Receive a written advance notice whenever your benefits are reduced or discontinued.
  • Get an answer to any questions about benefits and/or information concerning other programs and services.
  • Receive immediate and/or emergency assistance benefits, if eligible.
  • Request a fair hearing if you don’t agree with any decision by this agency about your eligibility for benefits.

Special Supplemental Nutrition Assistance Program (SNAP) Provisions

You have the right to:

  • Receive a SNAP application by mail or in person on the day you request to file an application.
  • Have an adult who knows your circumstances make application for you
  • Not be interviewed before filing an application.  You need only to complete the applicant’s name and address and have the application signed by a responsible adult household member or authorized representative.
  • A home visit or telephone interview.
  • Receive SNAP benefits within seven days if you are in immediate need and qualify for expedited services.
  • Receive SNAP benefits within thirty days from your application date if you are eligible and we have received the necessary information.

Your Responsibilities

All Services

The applicant/household must:

  • Complete and sign the application, be interviewed and cooperate in the verification of information
  • Provide the agency with proof to support its income statements and cooperate in resolving any unconfirmed information
  • Cooperate in all reviews of its eligibility for benefits
  • Report changes in household circumstances, including but not limited to:
    • changes of address
    • changes in household size or composition
    • changes in income
    • increases in resources
    • changes in shelter costs
    • changes in child care costs
    • changes in medical costs

Special SNAP Provisions

The applicant/household must:

  • Use SNAP benefits to only purchase eligible items
  • Not put their money or possessions in someone else’s name in order to qualify for food stamps
  • Not make changes on any food stamp cards, coupons or documents
  • Not sell, trade or give away any SNAP cards, coupons or documents