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-1225 - Request for Replacement of Food - English
W-1225S - Solicitud de Reemplazo de Alimentos - Spanish
W-1226 - Proof of Food Loss - English
W-1226S - Prueba de Pérdida de Alimentos - Spanish
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-3040 - Volunteer Hours Tracking - English
W-3040S - Volunteer Hours Tracking - Spanish