D.C. SNAP Cash Recertification Form Instructions
This document provides the necessary recertification form for Supplemental Nutrition Assistance Program (SNAP) and Cash Assistance benefits in Washington D.C. It contains instructions on how to fill out and submit the form, ensuring that recipients maintain their eligibility for benefits. Important details about household income, changes, and other relevant information are required.
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How do I fill this out?
To fill out this form, begin by providing your personal information, including your name and case number if known. Next, answer questions about any changes in income or household membership since your last recertification. Finally, ensure to attach any necessary proof to verify your answers.

How to fill out the D.C. SNAP Cash Recertification Form Instructions?
1
Read the instructions carefully.
2
Complete your personal information.
3
Answer questions about income changes.
4
Report any changes in household members.
5
Attach necessary documents for verification.
Who needs the D.C. SNAP Cash Recertification Form Instructions?
1
Individuals currently receiving SNAP benefits who need to confirm their ongoing eligibility.
2
Households that have experienced changes in income or family composition affecting benefits.
3
Returning clients needing to renew their Cash Assistance.
4
Families considering applying for SNAP who want to understand eligibility criteria.
5
Support organizations helping clients navigate food assistance programs.
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What are the instructions for submitting this form?
To submit the SNAP recertification form, you can mail it to the D.C. Department of Human Services Case Record Management Unit at P.O. Box 91560, Washington, DC 20090. Alternatively, you may fax the completed form to the Economic Security Administration at (202) 671-4400. Visually submit the form along with necessary proof at one of the DHS Service Centers located at Anacostia, Congress Heights, or H Street.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting this form for the years 2024 and 2025 will typically align with the annual recertification cycles established by the D.C. Department of Human Services. Ensure forms are submitted close to scheduled recertification dates to avoid lapses in benefits. Keep an eye on notifications from DHS regarding specific deadlines.

What is the purpose of this form?
The purpose of this form is to recertify individuals' eligibility for Supplemental Nutrition Assistance Program (SNAP) and Cash Assistance benefits. Recertification is vital for those receiving assistance to ensure that their circumstances have not changed significantly since the last application. The D.C. Department of Human Services requires this documentation to calculate and verify benefit amounts accurately.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name: The complete name of the person filling out the application.
- 2. Date of Birth: The applicant's date of birth.
- 3. Phone Number: Contact number for any follow-ups.
- 4. Case Number: Reference number assigned to the applicant's assistance case.
- 5. Income Changes: Fields to record any significant changes in income.
- 6. Household Changes: Details about any changes in household composition.
- 7. Address Changes: New address or housing information if applicable.
What happens if I fail to submit this form?
Failure to submit this form on time may result in the termination of your SNAP or Cash Assistance benefits. It is crucial to adhere to the submission timeline to maintain your eligibility. Late submissions could create significant disruptions in financial assistance.
- Loss of Benefits: Failure to submit could result in loss of assistance.
- Delayed Processing: Late forms can prolong the processing of your assistance.
- Requirement for Reapplication: In some cases, failure to submit may require you to reapply for benefits.
How do I know when to use this form?

- 1. Annual Recertification: Required yearly to continue receiving benefits.
- 2. Income Change Notification: Used when reporting any significant change in income.
- 3. Household Composition Updates: Necessary when there are changes in household members.
Frequently Asked Questions
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What happens if I submit an incomplete form?
An incomplete form may delay the processing of your assistance benefits.
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Are there resources available to help me determine my eligibility?
Yes, check the resources section on our website for eligibility guidelines.
What if I need assistance with filling out this form?
You can contact the provided phone numbers for help while completing the form.
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