Nutrition  Services     Pre Screening Tool
Snap Benefits 

Verifications Check List
Print or Download

Families First Program Food Stamp Application

NJHelps

Household Change in Circumstances

Change Report Form

Please bring in the following verifications in order to help determine possible eligibility for the following programs:
Temporary Assistance to Needy Families (TANF)
General Assistance (GA)
Food Stamps (Families First Card)
Medicaid
New Jersey Care Medicaid Program

Income
Verification of all earned and unearned income for the most recent month. 
Most recent month's pay stubs or a letter from employer
Self Employment quarterly balance sheet
Child Support and alimony verification
Verification of Social Security SSI Disability and      Pension benefits for household members
Workers Compensation award letters
Unemployment benefits receipts

Resources of Household Members
Bank and or Credit Union statements
Stock and or Bond ownership verification
Car registrations
Real estate ownership verification

Identity
Driver's license, voter registration card, work or school ID card

Residency
Mortgage book, tax bill, rent receipt, lease. Utility bills if you are responsible for these cost
Rental assistance award letter

Documents
Social Security cards, or proof that you have applied for a number
Birth certificates of children

Depending on your individual circumstances there may be other items requested in order to determine eligibility.

top | webmaster

Adobe Acrobat
If you do not have the Adobe Acrobat software, you can down load it Free by clicking the logo above. 
When you are finished downloading the reader software.
Re-click the applications link at the top of the page.