Print Version of Forms
Application/Redetermination Form (print version) DFA-2-Use to apply for any financial benefits
Snap Application (print version) DFA-SNAP-1- Use to apply for SNAP ONLY benefits
SNAP Change Reporting Form (print version) DFA-SNAP-2-Use to report changes in household circumstances
SNAP is administered by the WV DHHR and governed by federal law and regulations of the US Department of Agriculture, Food Nutrition Services. SNAP provides monthly benefits to help eligible households buy food. Eligibility to receive benefits is based on household size, income, assets and some household expenses as determined by the federal government. The asset limit is $2,250 for households. NOTE: Most households will not be subject to the asset limit but if at least one person is at least age 60 or disabled, the asset limit is $3,250.
Most people must pass a gross income test and then a net income test. Before total income is compared to the federal net income limits, certain deductions are applied to the income, such as: 20% earned income disregard, child care costs, excess shelter/utility costs, court-ordered child support paid out, etc.
The amount of SNAP benefits issued to eligible persons is based on household size and countable income, after all deductions are applied. Households with an elderly or disabled person are given special consideration. In addition to the higher asset limit, there is no gross income test and more excess shelter/utility costs can be deducted, and medical expenses over $35 per month.
SNAP benefits may only be used to purchase food for human consumption and seeds/plants to grow food at home. Food Stamp benefits cannot be used for: household items, grooming products, tobacco, alcohol products, pet food, etc.
To make a complaint regarding Supplemental Nutrition Assistance Program (SNAP) to the Bureau for Children and Families
Call Client Services at 1-800-642-8589
To File A Civil Rights Program Complaint
The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)
If you wish to file a Civil Rights program complaint of discrimination:
Complete the USDA Program Discrimination Complaint Form, found online by clicking here
or at any USDA office
or call (866) 632-9992 to request the form
You may also write a letter containing all of the information requested in the form.
Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at firstname.lastname@example.org.
Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).
For any other information dealing with Supplemental Nutrition Assistance Program (SNAP) issues, persons should either contact the USDA SNAP Hotline Number at (800) 221-5689, which is also in Spanish or call the State Information/Hotline Numbers (click the link for a listing of hotline numbers by State).