NOTICE:

The Department of Social Services is working with Community Action Agencies to distribute the one-time $300 grocery card to those who have lost their SNAP benefits due to federal changes in the rules of eligibility. When this benefit is available we will let the public know how they can request it. If you need immediate food assistance, visit www.211ct.org or www.ctfoodshare.org.

Security Notice: DSS and Gainwell Technologies are providing notice of a data security incident affecting the Connecticut HUSKY Medicaid provider portal — [read the full press release] for details, or call 1-855-744-4488 if you have questions.

Changes to SNAP and HUSKY Health work rules can be hard to understand. But many people will not lose their benefits. The Department of Social Services has made two prescreeners available - one for SNAP and one for HUSKY - to determine whether these changes apply to you. Find out more about how it will impact you on our website, which answers questions about work requirements and exemptions for SNAP and HUSKY (Medicaid).

Documents/Forms

CT SNAP Claims Management Plan

Help for People in Need Brochure - English

Help for People in Need Brochure - Spanish

Pub 96-3 - English

Pub 96-3S - Spanish

W-1E Application for Benefits - English

W-1ES Solicitud de Beneficios - Spanish

W-1051 Summer EBT Denial - English

W-1051S Summer EBT Denial - Spanish

W-1052 Summer EBT Missing Information - English

W-1052S Summer EBT Missing Information - Spanish

W-1216 SNAP Computation Sheet

W-1460 Request for Exemption from the SNAP Time Limit - English

W-1460S Request for Exemption from the SNAP Time Limit - Spanish

W-1704 - Commodity Supplemental Food Program (CSFP) Application Form

W-1704S - Programa Suplementario de Productos Básicos (CSFP) Formulario de Solicitud

W-1708 - Commodity Supplemental Food Program (CSFP) Recertification Form (due every 36 months)

W-1708S - Programa Suplementario de Productos Básicos (CSFP) Formulario de Recertificación (vence cada 36 meses)

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