Case number: Date of notice: Case name: Able Bodied Adults Without Dependents (ABAWDs) are people who are at least 18 but not yet 50 years of age. ABAWDs have special requirements to receive more than three months of food benefits between 1/1/2019 and 12/31/2021. We believe is an ABAWD. Please read the back of this form to see if these special ABAWD rules are for you. We need to see if any of the months you received food benefits counts as one of your three months. We need to see if you are doing the activities required to stay eligible for food benefits. If the SNAP office does not have the items asked for below by you will be required to do the special activities. Also, some of the months you received food benefit may count as one of your three months. If this causes your food benefits to be less or to stop, you will receive another notice. Date Please give the information or proof listed below to your completed SNAP office (agency use only) / / / / / / / / / / / / If one of the following is true, you may not have to do the special ABAWD
Case number: Date of notice: Case name: Able Bodied Adults Without Dependents (ABAWDs) are people who are at least 18 but not yet 50 years of age. ABAWDs have special requirements to receive more than three months of food benefits between 1/1/2019 and 12/31/2021. We believe is an ABAWD. Please read the back of this form to see if these special ABAWD rules are for you. We need to see if any of the months you received food benefits counts as one of your three months. We need to see if you are doing the activities required to stay eligible for food benefits. If the SNAP office does not have the items asked for below by you will be required to do the special activities. Also, some of the months you received food benefit may count as one of your three months. If this causes your food benefits to be less or to stop, you will receive another notice. Please give the information or proof listed below to your SNAP office Date completed (agency use only) / / / / / / / / / / / / If one of the following is true, you may not have to do the special ABAWD
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