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Form 80 Online Clovis California: What You Should Know

Did you receive a letter or letter by mail in the past 5 years that states that you can not receive benefits if you do not pay your  Possible Penalty: If you received a letter with instructions to pay a fee, submit an account statement that includes the amount of the fee that you paid, but did not receive and a  statement of the amount you were assessed, (if applicable)? Have you ever received a judgment that includes a claim for benefits? What is your address? If you answered yes to those questions, please provide the following information. How frequently have you applied for, and received benefits for, SNAP? How long have you been receiving cash assistance through the Food and Nutrition program? Do you receive any other social services from this Department? Were you homeless or living in another type of shelter? Do you have any health issues, or are you having a health problem? Are you pregnant? What is your reason for being in this program? Do you use drugs? Do you abuse alcohol? Are you on any type of prescription medication? Did you receive a medical bill? Do you have a felony record in any county, city, town county agency, health maintenance organization, county agency (including a mental health), jail, or prison? Do you have a conviction for criminal drug possession? (if yes, please provide the date) Have you applied for or received any other food assistance? Did you submit applications for unemployment, health insurance, or other type of state or federal benefits? Have you been incarcerated? The information you provide will allow the application processor to contact you with new and relevant information or updates to your information, if needed. Please complete the below application for your next food assistance benefit or SNAP Benefits. For more information about this program, please visit the USDA website.

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