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Blank Nevada Welfare Division Template

The Nevada Welfare Division form, officially known as the Division of Welfare and Supportive Services Application for Assistance, is a vital document for individuals and families in Nevada seeking help through various assistance programs. It encompasses applications for food assistance under the Supplemental Nutrition Assistance Program (SNAP) and cash assistance through the Temporary Assistance for Needy Families (TANF). These programs aim to support Nevadans by providing the necessary means to purchase food and meet basic needs, with the application process and eligibility criteria detailed within the form.

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The Nevada Welfare Division form serves as a critical pathway for individuals and families in Nevada seeking assistance through various social support programs. Highlighting the commitment to the welfare of all Nevadans, this application form enables access to crucial services such as the Supplemental Nutrition Assistance Program (SNAT) for food assistance and the Temporary Assistance for Needy Families (TANF) program, offering financial aid to families with children to meet basic needs. Understanding the time sensitivity of applicants' needs, the form outlines specific time frames within which benefits are processed—SNAP benefits within 30 days, possibly sooner for urgent cases, and TANF benefits within 45 days or less under certain circumstances. The application also emphasizes the importance of expedited service for households under particular distress, ensuring they receive SNAP benefits swiftly. Applicants are required to provide Social Security Numbers (SSN) and information regarding citizenship or immigration status, adhering to federal laws, to facilitate the verification of eligibility, including income and resources, through various agencies. The form is designed with inclusivity in mind, offering assistance in completing the application, providing information in languages other than English, and ensuring equal opportunity without discrimination based on race, color, national origin, disability, age, sex, and in some cases, religion or political beliefs. Furthermore, it outlines the need for verifications like identity, income, Nevada residency, and expenses to streamline the eligibility determination process. By centralizing access to multiple support services, the Nevada Welfare Division form embodies a comprehensive approach to social welfare, ensuring that assistance is accessible to those in need while maintaining the integrity and efficiency of the application process.

Nevada Welfare Division Example

Division of Welfare and Supportive Services

Application for Assistance

“Working for the Welfare of ALL Nevadans”

Programs You May Apply For:

Food Assistance from the Supplemental Nutrition Assistance Program (SNAP) helps people buy food.

Temporary Assistance for Needy Families (TANF) helps families with children meet their basic needs with cash assistance.

Time Frames

SNAP benefits are processed within 30 days from the date of the application. If your household has little or no income, you could receive SNAP benefits within 7 days from the date of your application. SNAP benefits are paid from the date of the application.

TANF benefits are paid from the date of approval or 30 days from the date of the application, whichever is sooner. TANF applications are processed within 45 days from the application date unless there are unusual circumstances.

Denial of benefits for one program does not automatically affect the decision on another program you may be applying for.

SNAP Expedite Rules

The following households are entitled to expedited service and should receive SNAP benefits within 7 days:

Households with less than $150 in monthly gross income and no more than $100 in liquid resources;

Migrant or seasonal farm worker households who are destitute, provided their liquid resources do not exceed $100;

Households with combined monthly gross income and liquid resources less than the households monthly rent or mortgage and utilities.

Social Security Numbers

You will be asked to provide Social Security Numbers (SSN) for all persons (including yourself) who are applying for assistance, pursuant to Title 42 USC 1320b-7 and is authorized under the Food and Nutrition Act of 2008 (formerly the Food Stamp Act), as amended 7 U.S.C. 2011-2036. Providing or applying for a SSN is voluntary. For SNAP, any person who wants assistance but does not want to give information about his or her SSN will not be eligible for benefits. Other family or household members may still get benefits if they are otherwise eligible. For TANF, if a required household member fails or refuses to provide an SSN without good cause, the entire household will be ineligible for TANF benefits. This includes all individuals whose income and needs are used to determine eligibility for the TANF program.

SSNs are used to verify your household’s income and resources and to conduct computer matching with other agencies such as the Social Security Administration, Employment Security Division, Child Support Enforcement Programs and the Internal Revenue Service. It is also used to gather workforce information, investigations, recover overpaid benefits and to ensure duplicate benefits are not received.

Citizenship/Immigration Status

You will be required to provide information about the citizenship and/or immigration status for all persons (including yourself) who are applying for assistance. For SNAP, if any of these persons do not want to give us information about his/her citizenship and/or immigration status, he/she will not be eligible for benefits. Other family or household members may still receive benefits if they are otherwise eligible. For TANF, if a required household member fails or refuses to provide verification of their status, the entire household will be ineligible for TANF benefits. Qualified Non-Citizen status is verified with the United States Citizenship and Immigration Service (USCIS) for eligibility purposes. Information on non-applicants or non-qualified non-citizens will not be shared with USCIS.

Where do I mail my completed application?

Send or submit your complete, signed application to the address below. Eligibility determinations will be based on rules and requirements which pertain to the program you are applying for. We will notify you if you are eligible or not, or give you further instructions for completing your application.

State of Nevada

Division of Welfare and Supportive Services

P.O. Box 15400

Las Vegas, NV 89114-5400

What if I need help with this application?

Phone: 1-800-992-0900 ext 47200 Southern Nevada (702) 486-1646 Northern Nevada (775) 684-7200

Email: welfare@dwss.nv.govOnline: https://dwss.nv.gov

In person: Visit our website or call 1-800-992-0900 ext 47200 to find a local DWSS District office

Language Interpreter: Call 1-800-992-0900 ext 47200 or TTY 1-800-326-6888

Applicant information, please keep this page for your records.

2905 EG (8-17)

Non-Discrimination

This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex and in some cases religion or political beliefs.

The U.S. Department of Agriculture (USDA) also prohibits discrimination based on race, color, national origin, sex, religious creed, disability, age, political beliefs or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027), found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)mail: U.S. Department of Agriculture

Office of the Assistant Secretary of Civil Rights

1400 Independence Avenue, S.W.

Washington, D.C. 20250-9410

(2)

fax:

(202) 690-7442; or

(3)email: program.intake@usda.gov.

For any other information dealing with Supplemental Nutrition Assistance Program (SNAP) issues, persons should either contact the USDA SNAP Hotline Number at (800) 221-5689, which is also in Spanish or call the State Information/Hotline Numbers (click the link for a listing of hotline numbers by State); found online at:

http://www.fns.usda.gov/snap/contact_info/hotlines.htm.

To file a complaint of discrimination regarding a program receiving Federal financial assistance through the U.S. Department of Health and Human Services (HHS),

write: HHS Director,

Office for Civil Rights, Room 515-F 200 Independence Avenue, S.W. Washington, D.C. 20201

or call: (202) 619-0403 (voice) or (800) 537-7697 (TTY). This institution is an equal opportunity providers and employers.”

Applicant information, please keep this page for your records.

STEVE SISOLAK

GOVERNOR

STATE OF NEVADA

DEPARTMENT OF HEALTH AND HUMAN SERVICES

DIVISION OF WELFARE AND SUPPORTIVE

SERVICES

Notice of Required Verification

RJCHARD WHITLEY, MS

DIRECTOR

STEVE H. FISHER

ADMINISTRATOR

You may be required to provide proof of your household's circumstances to determine which benefits your household will receive. This proof will be required for all people in your household. It will help the application process if you provide the needed proof prior to or at your interview. The information below are examples of items you may be required to provide to meet this requirement.

The documents you provide to us should cover a 30-60-day period prior to your date of application for benefits. Your worker will provide you with more information regarding time periods.

If you are having trouble getting the required information, we can assist you. Please contact us at 702-486-1646 or 775-684-7200, if you need assistance. You can also refer to our website, https://dwss.nv.gov/, for general information.

Identification/Citizenship

United States Passport

Government Issued Driver's License/Identification Card

U.S. Military ID (active, dependent, retired)

USCIS Verification of Citizenship

Certified United States Birth Certificate

Unearned & Other Income Copy of award letter or other statement/verification for:

Social Security Benefits (RSDI)

Supplemental Security Income (SSI)

Worker's Compensation

Unemployment Benefits

Veteran's Benefits (retirement, disability, educational)

Retirement Pensions/Benefits

Child Support Payments - Copy of Court Order

Alimony

Cash Contributions/Loans

TANF or other Government Payment

County or Indian General Assistance

Educational Income (Government Grants, Student Loans, Scholarships, etc.)

Any other income received by any household member

Earned Income

Paycheck Stubs or Employer

Statement

If employment has ended in the last 90 days, proof of termination and final pay

If unable to work, doctor's statement

Self-Employment Records/Tax

Returns

Nevada Residency

Current Lease or Rental Agreement

Nevada Driver's License

Statement regarding homeless situation

Out of State Benefits

Proof of any benefits received from another state

Verification out-of-state benefits

have been terminated

Resources

Bank or Credit Union Statement

Savings Bonds

Vehicle Registration

Life Insurance Policies

Retirement Account Statements

Trust Documents

Proof of Stocks and Bonds

Proof of Home or Property Ownership

Expenses

Shelter Expenses

Rent or Mortgage Receipt

Current Utility Bill

Signed & Dated Landlord Statement

Proof of Home Taxes & Insurance

Educational Expenses

Financial Aid Statement from School

Receipts

Dependent Care

Receipt/Statement from sitter or daycare center with the following information:

Name of Sitter or Center

Monthly Payment

Names and ages of persons cared for

Reason for Care

Court Ordered Child Support Paid

Copy of Court Order

Verification of Payments Made

2993-EG (3/19)

APPLICATION FOR ASSISTANCE

Please list everyone who lives in the home with you, whether you consider them household members or not. If someone is pregnant please list the unborn child(ren) as household members as well. Please list the head of household first; you may choose who this individual will be. The person chosen as the head of household will be the case name. Fill out as much of the application as you can; you may ask for help if you need it. You may complete only your name, address and signature in order to start the application process for Food Assistance. The remainder of the application may be submitted at or prior to your interview. You only need to answer the questions designated for the programs for which you are applying. The remaining pages may be turned in, mailed or faxed to the district office.

 

 

MiddleInitial

ModifierJr. Sr.

Last Name

First Name

 

Relation to

 

 

 

You

SELF

Are there additional people in your home? YES

Gender

Date of

Age

Marital Status**

Social

State or

CitizenU.S.

Y/N

*Race/Ethnicity

GradeLast Completed

Month/Year Completed

FOOD

TANF

NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Security

Country

 

 

 

 

 

 

 

 

 

Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO If “YES”, list them on a separate sheet of paper.

Race - Please check one of the boxes that best describes your household -

Hispanic/Latino or

Non-Hispanic or Latino

*Ethnicity (Optional) - Please choose one of the following ethnicity codes for each household member: A-Asian; B-Black or African American; I- American Indian or Alaska Native; J-American Indian or Alaska Native and White; L-Asian and White; M-Black or African American and White; N- American Indian or Alaska Native and Black or African American; U-Native Hawaiian or Other Pacific Islander; W-White; Z-2 or more combinations not listed above.

**Marital Status – Please choose one of the following marital status codes for each household member: D-Divorced; L-Legally Separated; M-Married; N-Never Married; P-Separated; W-Widowed

Home Address (Give directions if you do not have an address.)

City

State

Zip Code

Mailing Address (If different from your home address.)

City

State

Zip Code

Home Phone

Cell/Message/Daytime Phone

E-mail Address

If you are applying for Food Assistance, please answer questions 1 through 6 about your household. A Food Assistance household includes all people who live and share food with you. Based on your answers below, you may qualify for expedited service.

1.Do you usually buy, prepare and eat with others you live with?

If “NO”, list who buys their food separately

YES

NO

2.

List the total gross amount of money your household received or expects to receive this month.

$_______________

3.

How much do all persons have in cash, checking and savings accounts?

$_______________

4.

How much is your current monthly cost for housing (rent/mortgage) and utilities?

$_______________

5.

Are you or any person(s) in your household a migrant or seasonal farm worker?

YES

NO

6.

Have you or any person in your household received TANF, Food Assistance or Indian Commodities

 

 

 

in Nevada or any other state?

 

 

 

YES

NO

 

If “YES”, who?

 

 

What benefits?

 

 

 

 

Where?

___________________________________

Last month and year benefits were received

/

 

I certify under penalty of perjury, my answers are correct and complete to the best of my knowledge and ability. I swear I have honestly reported the citizenship of myself and anyone I am applying for.

Your Signature

Date

FOR OFFICE USE ONLYEXPEDITED SERVICE SCREENING: HOUSEHOLD ELIGIBLE FOR EXPEDITED SERVICE?

YES NO Expedited service screener signature: ________________________________________

DATE: __________________

4

FOOD & TANF

SPECIAL ACCOMMODATIONS

To get SNAP (food assistance) and/or TANF (cash assistance), most people are required to come into the office for a face-to-face

 

interview; you need to bring identification with you.

 

 

 

 

 

 

 

 

Do you have a physical or mental condition that requires special accommodations during your interview?

 

 

YES NO

 

If YES, what do you need? ________________________________________________________ (Most services are free to you.)

 

Do you speak English?

YES

NO If NO, what language do you speak? ____________________________________

 

Do you need an interpreter for your interview?

YES

NO

(This service is free to you.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOOD & TANF

 

 

 

AUTHORIZED REPRESENTATIVE

 

 

AREP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You have the right to assign up to two individuals to act on your behalf either to apply for benefits or to use your benefits for the household.

 

7. Do you want someone other than yourself, age 18 or older, to apply for benefits or act on your behalf?

 

YES

NO

 

If “YES” who?

 

 

 

Age?

 

Telephone #

 

( )

 

-

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this individual currently serving a disqualification for an Intentional Program Violation?

 

YES

NO

 

Do you want an additional person to apply for benefits or act on your behalf?

 

 

 

 

YES

NO

 

If “YES”, who? ___________________________________________Age? ________ Telephone# (

) _______________

 

 

Address ____________________________________________________________________________________________

 

 

Is this individual currently serving a disqualification for an Intentional Program Violation?

 

YES

NO

 

8. In case of emergency, who would you like us to contact? Name

 

 

Relationship

 

 

 

 

 

Daytime Telephone # ( )

-

Address

 

 

 

 

 

 

 

 

 

FOOD & TANF

 

 

 

ADDITIONAL HOUSEHOLD INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.Do you plan to continue living in Nevada? If “NO”, explain:

YES

NO

10. List the most recent date you started living in Nevada.

 

/

(MM/YYYY)

11.

Are you or any person(s) in your household a member of an American Indian or Alaskan Native Tribe?

YES

NO

 

If “YES,” who?

 

 

What tribe?

 

 

 

12.

Are you or any person(s) in your household currently disqualified for an Intentional Program

 

 

 

Violation (IPV)?

 

 

 

 

YES

NO

 

If “YES”, who?

What state?

 

 

13.

a. Have you or any person(s) in your household been convicted of a felony under Federal or State law for possession, use or distribution of a controlled drug substance (felony drug conviction) after August 22, 1996?

If “YES”, who?

 

 

 

 

 

 

 

 

 

 

 

YES

NO

When?

 

 

 

 

Where?

 

 

 

 

b. Have you or any person(s) in your household been convicted of trading SNAP benefits for drugs after

 

 

 

September 22, 1996?

 

 

 

 

 

 

 

 

 

YES

NO

If “YES”, who?

 

 

When?

 

 

 

 

Where?

 

 

 

 

c. Have you or any person(s) in your household been convicted of buying or selling SNAP benefits over

 

 

 

$500 after September 22, 1996?

 

 

 

 

 

 

 

 

 

YES

NO

If “YES”, who?

 

 

When?

 

 

 

 

Where?

 

 

 

 

d. Have you or any person(s) in your household been convicted of fraudulently receiving duplicate SNAP

 

 

 

benefits in any State after September 22, 1996?

 

 

 

 

 

 

 

 

 

YES

NO

If “YES”, who?

When?

 

 

 

Where?

 

 

 

e. Have you or any person(s) in your household been convicted of trading SNAP benefits for guns,

 

 

 

ammunition or explosives after September 22, 1996?

 

 

 

 

 

 

YES

NO

If “YES”, Who?

 

 

When?

 

 

 

 

Where?

 

 

 

 

14. Are you or any person(s) in your household currently participating in or have participated in a Drug

 

 

 

Addiction or Alcohol Treatment Program?

 

 

 

 

 

 

 

 

 

YES

NO

If “YES”, who?

 

 

Date entered

/

/

 

Date completed

/

/

 

Facility Name:

 

 

Facility Address

 

 

 

 

 

 

 

15.Are you or any person(s) in your household hiding or running from the law to avoid prosecution, being taken into custody, or going to jail for a felony crime or attempted felony crime, or violating a

condition of parole or probation?

YES

NO

If “YES”, who?

________________________________ Why?

___________________________________________

 

 

 

 

5

 

 

FOOD & TANF

 

 

 

 

 

 

PREGNANCY

 

 

 

 

 

 

 

PREG

 

 

16. Are you or any person(s) in your household pregnant?

 

 

 

 

 

 

 

YES

NO

 

 

If “YES”, who?

 

 

Expected due date?

/

/

 

(MM/DD/YYYY)

 

FOOD & TANF

 

 

 

 

 

 

DISABILITY

 

 

 

 

 

 

 

DISA

 

 

17. Are you or any person(s) in your household blind, disabled or unable to work due to illness or injury?

 

 

YES

NO

 

 

If “YES”, who?

 

 

 

When did this condition begin?

 

/

 

/

 

(MM/DD/YYYY)

 

 

What is the disability?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOOD & TANF

 

 

 

 

NON-CITIZEN INFORMATION

 

 

 

 

 

 

 

ALIE

 

 

18. Are you or any person(s) in your household NOT a U.S. Citizen?

 

 

 

 

 

 

 

YES

NO

 

 

If “YES”, who?

 

 

 

 

Alien Registration #

 

 

 

 

 

 

 

 

 

When did this person enter the United States?

 

/

 

 

/

 

(MM/DD/YYYY)

 

 

If “YES”, who?

 

 

 

 

Alien Registration #

 

 

 

 

 

 

 

 

 

When did this person enter the United States?

/

 

 

/

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

SCHOOL ATTENDANCE (TANF)

 

 

 

 

 

 

 

SCHL

 

19.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Are you or any person(s) in your household between the ages of 7 and 11 or over 16 attending school?

 

 

YES

NO

 

 

If “YES”, who?

 

 

 

 

School name?

 

 

 

 

 

 

 

 

 

 

 

 

If additional persons “YES”, who?

 

 

School name?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL ATTENDANCE (FOOD)

 

 

 

 

 

 

SCHL/EDIN

 

 

 

b. Are you or any person(s) in your home between the ages of 18 and 49 attending school above the

 

 

 

 

 

 

 

high school level?

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

If “YES”, who? ________________

School name? _____________________

Hours per week? ___________________

 

 

If additional persons “YES”?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Who? _____________________

School name? _____________________

Hours per week? ___________________

 

FOOD & TANF

 

 

 

EARNED INCOME/WORK HISTORY

 

 

 

JINC/SELF/OINC/QUIT/STRK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20. Are you or any person(s) in your household currently working, including self-employment?

YES

NO

If “YES”, who is employed?

 

 

 

Hourly wage? $

 

Hours worked per week?

How often are they paid?

 

 

 

 

 

Tips paid per month?

$

 

Start date?

/

 

 

 

 

 

 

 

 

Employer’s name?

 

 

 

Employer’s telephone?

 

 

 

Employer’s address? ____________________________________________________________________________________

If self-employed, please list any business related expenses. ____________________________________________________

____________________________________________________________________________________________________

If “YES”, for additional household members:

 

 

 

Who is employed?

 

 

 

Hourly wage? $

 

Hours worked per week?

How often are they paid?

 

 

 

 

Tips paid per month?

$

 

Start date?

/

/

 

 

 

 

 

 

 

Employer’s name?

 

 

 

Employer’s telephone?

 

 

 

Employer’s address?

If self-employed, please list any business related expenses. ____________________________________________________

____________________________________________________________________________________________________

If more than two persons are currently working, please attach an additional sheet of paper.

 

 

 

 

 

 

 

 

21. Have you or any persons(s) in your household had a job that ended in the last 60 days?

 

 

 

 

 

 

YES

NO

Who was employed?

 

 

 

 

 

 

Hourly wage? $

 

 

 

Hours worked per week?

 

How often were they paid?

 

 

 

 

 

Tips received per month?

$

 

 

 

 

 

 

 

Employer’s name?

 

 

 

 

 

Start date?

/

/

 

When did the job end?

 

 

/

/

Employer’s address

 

 

 

 

 

 

 

 

 

Employer’s

telephone?

(

)

-

 

Reason for leaving?

 

Quit

Fired

Leave of Absence

 

Applied Worker’s Compensation

 

 

Other

 

 

If “YES” for additional household members:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Who was employed?

 

 

 

 

 

 

Hourly wage? $

 

 

 

Hours worked per week?

 

How often where they paid?

 

 

 

 

 

Tips received per month?

$

 

 

 

 

 

 

 

Employer’s name?

 

 

 

 

 

Start date?

/

/

 

When did the job end?

 

 

/

/

Employer’s address

 

 

 

 

 

 

 

 

 

Employer’s

telephone?

(

)

-

 

Reason for leaving?

 

Quit

Fired

Leave of Absence

 

Applied Worker’s Compensation

 

 

Other

 

 

6

22.

Are you or any person(s) in your household currently registered with or working for a temporary employment

 

 

 

 

service/agency?

 

 

 

 

 

 

 

 

 

YES

NO

 

 

If “YES”, who?

 

 

 

Which service/agency?

 

 

 

23.

Are you or any person(s) in your household currently on strike?

 

 

 

YES

NO

 

 

If “YES”, who?

 

 

 

 

 

 

 

 

 

 

 

24.

Do you or any person(s) in your household work in exchange for food, shelter or something else?

YES

NO

 

 

If “YES”, who?

 

 

What do they receive for their work?

 

 

 

 

 

What is the value of this exchange?

$

 

When did this begin?

 

 

 

 

 

 

FOOD & TANF

 

UNEARNED/OTHER INCOME

 

 

UNIN/GAGA/LSUM/RINC/RBIN/EDIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25. Please check the “YES” box for each of the types of the unearned income you or any person(s) in your household receives or has applied for. If you do not check the “yes” box for any of the unearned income below you are acknowledging neither you

or any person(s) in your household have any unearned or other income.

YES

SOURCE

Person Applied/Receiving

Gross Amount Per Month

 

Alimony

 

$

 

Boarder/Roomer Income

 

$

 

Child Support (Voluntary or Court Ordered)

 

$

 

Contributions/Gifts

 

$

 

Educational Assistance/Student Loans

 

$

 

Foster Care

 

$

 

General Assistance

 

$

 

Insurance Settlements

 

$

 

Interest/Dividends

 

$

 

Loans

 

$

 

Military Allotment

 

$

 

Mining Claims

 

$

 

Panhandling

 

$

 

Pensions/Retirement

 

$

 

Property Rentals

 

$

 

Railroad Retirement

 

$

 

Royalties

 

$

 

Social Security Benefits (RSDI)

 

$

 

Strike Benefits

 

$

 

Subsidized Housing

 

$

 

Supplemental Security Income (SSI)

 

$

 

Supported Living Arrangement (SLA)

 

$

 

TANF Assistance

 

$

 

Trust Income

 

$

 

Unemployment Insurance

 

$

 

Utility Allowance/Rebate Check

 

$

 

Veteran’s Benefits

 

$

 

Gambling Winnings

 

$

 

Worker’s Compensation or Temporary

 

 

 

Disability

 

$

 

Other: (please list) ____________________________

 

$

7

FOOD & TANF

INCOME MANAGEMENT

26.

If you do not have any income, please explain how you are paying your bills and buying personal items for your household?

FOOD & TANF

RESOURCES

BANK/LIFE/PROP

27. Please mark the “YES” box for each types of resources you or any person(s) in your household has, even if jointly owned with

 

someone outside the household. If you do not check the “YES” box for any of the resources below you are acknowledging

 

neither you or any person(s) in your household have any resources:

 

YES

TYPE OF ACCOUNT

Savings Account

Checking Account

Credit Union Account

Minor Savings

Business Account

Christmas Club

Account

Educational Savings Account

Patient Trust Fund

Individual Indian Money Account

BANK ACCOUNTS

 

 

 

ACCOUNT

 

 

 

NUMBER

OWNER(S)

NAME OF BANK

VALUE

(Please list the

 

 

 

last 4 numbers

 

 

 

only)

$

$

$

$

$

$

$

$

$

LIFE INSURANCE/TRUSTS/BURIALS

YES

TYPE OF ACCOUNT

Life Insurance

Available Trusts

Unavailable Trusts

Burial Funds/Plans

Life Estates

 

 

 

 

 

 

 

POLICY OR

 

 

 

NAME OF COMPANY

 

 

 

 

ACCOUNT

 

OWNER(S)

 

 

FACE VALUE

 

 

NUMBER

 

 

OR BANK

 

 

 

 

 

 

 

 

 

 

(Please list the last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 numbers only)

 

 

 

 

$

/CSV$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

/CSV$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOOD & TANF

RESOURCES (CONT)

BANK/LIFE/PROP

YES

INVESTMENT & RETIREMENT ACCOUNTS

 

 

 

 

ACCOUNT

TYPE OF ACCOUNT

OWNER(S)

NAME OF BANK OR

VALUE

NUMBER

(Please list the

COMPANY

 

 

 

last 4 numbers

 

 

 

 

 

 

 

 

only)

Savings Bonds

Stocks or Bonds

Certificates of Deposit

Individual Retirement

Accounts (IRA)

Keogh Account (401K)

Annuities

8

PERSONAL PROPERTY

 

 

 

 

 

 

CURRENT

 

YES

TYPE OF PROPERTY

OWNER(S)

LOCATION

CONTENTS OR TYPE OF

OR

 

RESOURCE

MARKET

 

 

 

 

 

 

 

 

 

 

VALUE

 

 

Safe Deposit Box

 

 

 

$

 

 

Livestock

 

 

 

$

 

 

Land Mineral Rights

 

 

 

$

 

 

Mining Claims

 

 

 

$

 

 

Business Equipment/

 

 

 

$

 

 

Inventory

 

 

 

 

 

 

Houses/Land or

 

 

Is this property currently

$

 

 

Buildings

 

 

for sale? Yes No

 

 

 

 

 

 

 

 

MISCELLANEOUS

YES

TYPE OF RESOURCE

OWNER(S)

 

Promissory Notes

Cash on Hand

Other: (please list)

28. Are any of the resources in question 27 designated as money for burial?

If “YES”, which resources?

CURRENT VALUE

$

$

$

YES NO

 

FOOD & TANF

 

 

VEHICLES

 

 

CARS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29. Do you or any person(s) in your household own, or are they buying, a car, motorcycle, trailer, truck, camper, boat,

ATV, etc.? (Please include any vehicles that are not currently working.) YES NO

If “YES”, please complete the information below.

OWNER

TYPE OF

YEAR, MAKE &

IS THE VEHICLE

FAIR MARKET

AMOUNT

VEHICLE

MODEL

REGISTERED

VALUE

OWED

 

 

 

 

 

 

 

 

 

 

 

YES

NO

$

$

 

 

 

YES

NO

$

$

 

 

 

YES

NO

$

$

FOOD

TRANSFERRED RESOURCE

TRAN

30. Have you or any person(s) in your household sold, traded or given away any money, vehicles, property or other resources, or

closed any bank accounts in the last 3 months?

 

 

 

 

YES

NO

If “YES”, who?

 

 

 

 

What resource was transferred?

 

 

 

 

When?

 

 

(MM/YYYY)

What was the value of this resource when it was transferred? $

 

 

Who was the resource transferred to?

 

 

Relationship to you?

 

 

Why was the resource transferred?

 

 

 

 

 

 

 

 

FOOD

 

 

 

 

HOUSING EXPENSES

 

 

RENT/HOME/UTIL

 

 

 

 

 

 

 

 

 

 

 

31. Please choose which of the following housing costs that you or any person(s) in your household pays.

 

 

 

 

 

 

 

 

RENT

MORTGAGE/RELATED EXPENSES

NONE

 

 

 

 

 

 

 

32.

If you are renting your home, how much is the monthly rent? (Including space/lot rent)

$_______________

 

 

33.

What is your landlord’s name?

_________________________

Landlord’s telephone number?

(

)

-

 

 

34.

What is your landlord’s address?

 

 

 

 

 

 

 

 

 

 

 

 

35.

Is your rent subsidized by any agency?

 

 

 

 

 

 

YES

NO

 

36.

If “YES,” by which agency?

 

 

 

How much is subsidized?

$

 

 

 

37.

If you are buying your home, please complete the areas with the current expenses:

 

 

 

 

 

 

 

 

Mortgage Amount (including second) $

 

 

How Often Paid?

 

 

 

 

 

 

 

 

 

Taxes (if paid separately)

 

$

 

 

How Often Paid?

 

 

 

 

 

 

 

 

 

Homeowners Insurance (if paid separately) $

 

 

How Often Paid?

 

 

 

 

 

 

 

 

 

Association Fees (if paid separately)

$

 

 

How Often Paid?

 

 

 

 

 

 

 

 

 

Lot/Space Rent

 

$

 

 

How Often Paid?

 

 

 

 

 

 

 

9

38. Does anyone outside the home pay any of your rent or mortgage expenses?

YES

NO

 

 

If “YES”, who?

 

Telephone?

 

How much? $

 

 

How often?

 

 

 

39.

Are you or any person(s) in your household responsible for paying any utility expenses?

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, does this utility expense include costs for heating or cooling?

 

 

 

 

 

 

YES

 

NO

 

 

If “NO”, please choose the utilities your household is responsible for paying:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electricity

 

Wood

 

 

Water

 

Sewer

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

Natural Gas

 

Propane

 

 

Garbage

 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

40.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Does anyone outside your household pay a portion of your utility expenses?

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

Telephone?

 

How much? $

 

 

How often?

 

 

 

 

b. Does your household receive or expect to receive assistance from the Energy Assistance Program?

 

 

 

YES

 

NO

 

FOOD & TANF

 

 

OTHER EXPENSES

 

 

 

 

SUDE/MEDX/DCEX

 

41.

Do you or any person(s) in your household pay court ordered child support to someone outside the household?

YES

 

NO

 

 

If “YES”, who?

 

 

 

How much do they pay per month?

$

 

 

 

 

 

42.

Do you or any person(s) in your household pay child care or for the care of a disabled adult?

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

 

 

 

 

 

 

For whom?

 

 

 

 

 

 

 

 

 

 

 

 

 

How much per month? $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43.

Does any agency or anyone outside your home pay a portion of your daycare costs?

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

 

 

 

 

How much per month? $

 

 

 

 

 

 

 

 

 

44.

Does anyone age 60 or over, or any person(s) who is disabled have out-of-pocket medical expenses

 

 

 

 

 

 

 

 

 

 

including costs for Medicare or medical insurance?

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

 

 

 

 

How much per month? $

 

 

 

 

 

 

 

 

 

45.

Does anyone outside the household pay for any of these medical expenses?

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

 

 

 

 

How much per month? $

 

 

 

 

 

 

 

 

 

 

 

TANF

 

 

 

INJURIES/ACCIDENTS

 

 

 

 

 

 

 

 

 

SETT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

46.

Have you or anyone in your household been injured or in an accident in the last 12 months?

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

 

 

 

 

 

 

 

When?

 

 

 

 

 

 

 

 

47.

Is there a pending lawsuit because of the injury or accident?

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, what is the attorney’s name?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney’s address?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

48.

Have you or anyone in your household received or expect to receive an insurance reimbursement, payment or

 

 

 

 

 

 

 

legal settlement?

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who?

when?

 

 

How much $

From where?

 

 

 

 

 

 

 

 

 

 

TANF

 

 

 

 

ABSENT PARENT INFORMATION

 

 

 

 

 

 

 

 

NCPM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

49.

Is the parent(s) of the child(ren) you are applying for: (Check one)

living somewhere else

disabled or

deceased

50.

If anyone in your home is pregnant, is the father of the unborn in the home?

 

 

 

 

 

 

YES

 

NO

 

 

If “YES”, who is the father?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete the following form with information about the absent parent of your child(ren) who is not living with you (including

the parent of an unborn child). If there is more than one possible parent, complete a form for each one. Please provide as much

information as possible.

*Please make copies or request additional copies of this page for additional parents.

10

File Features

# Fact Name Description
1 Application Purpose The form is used to apply for SNAP and TANF benefits in Nevada.
2 Processing Times SNAP benefits are processed within 30 days, and TANF within 45 days from the application date.
3 Expedited SNAP Rules Households meeting specific criteria are eligible for SNAP benefits within 7 days.
4 Social Security Number Requirement Applicants must provide SSNs to apply for assistance, under Title 42 USC 1320b-7.
5 Citizenship/Immigration Status Checks Information is verified with USCIS for eligibility purposes, but not shared for non-applicants or non-qualified non-citizens.
6 Application Submission Address Completed applications should be sent to the State of Nevada DWSS in Las Vegas.
7 Application Assistance Offered Assistance with the application is available via phone, email, online, or in person.
8 Non-Discrimination Policy The institution does not discriminate based on race, color, national origin, disability, age, sex, and certain other categories.
9 Required Verification Documents Applicants may need to provide proof of household circumstances for eligibility.
10 Authorized Representatives and Emergency Contacts Applicants can designate others to act on their behalf and provide emergency contact information.

Nevada Welfare Division - Usage Guidelines

Successfully navigating the Nevada Welfare Division form is crucial for applicants seeking assistance through the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF). These programs are designed to support Nevadans in meeting their basic needs and ensuring food security. It's essential to provide accurate information about all household members applying for benefits, as this information determines eligibility and the level of assistance provided. Certain households may also qualify for expedited service, receiving SNAP benefits within 7 days. Remember, each detail you provide plays a significant role in the review process, from social security numbers to citizenship or immigration status, all aimed at verifying household income and resources efficiently.

  1. Begin by listing all individuals living in your home, including unborn children if someone is pregnant. Designate a head of household first, a choice you can make freely, as this person will be the case name on the application.
  2. Provide detailed personal information for the head of household and all other members listed, including relationships, gender, date of birth, marital status, social security numbers, citizenship status, and race/ethnicity.
  3. Fill in your home address, mailing address (if different), contact numbers, and email address, ensuring they are current and accurate.
  4. Answer questions 1-6 if applying for Food Assistance (SNAP) to determine if you qualify for expedited service. These questions cover household composition, income, assets, housing costs, farm worker status, and whether any household member has received TANF, Food Assistance, or Indian Commodities in any state.
  5. Sign the application to certify that all the information provided is complete and accurate to the best of your knowledge. Include the date next to your signature.
  6. If applicable, indicate whether you need special accommodations for your interview due to a physical or mental condition, if you speak English, or if you require an interpreter.
  7. Decide if you want to appoint an Authorized Representative (AREP) to apply for benefits or act on your behalf and provide the necessary details.
  8. Complete the “ADDITIONal Household Information” section, answering questions about plans to continue living in Nevada, tribal membership, any intentional program violations, criminal convictions related to drug offenses or SNAP benefits fraud, participation in drug or alcohol treatment programs, and if any household member is evading the law.
  9. Include information on the emergency contact, specifying their name, relationship to you, contact number, and address.
  10. Before submitting the application, review all sections thoroughly to ensure accuracy and completeness. Missing or incorrect information can delay processing.
  11. Send or submit the application to: State of Nevada Division of Welfare and Supportive Services P.O. Box 15400 Las Vegas, NV 89114-5400. If you have any questions or require assistance with your application, use the contact information provided on the form to reach out for support.

By following these steps and providing complete, accurate information, you'll navigate the application process more smoothly and efficiently, helping you move closer to receiving the assistance your household needs. Once your application is submitted, it will be reviewed according to the specific rules and requirements of the SNAP and TANF programs, and you will be notified about your eligibility or given further instructions if additional information is needed.

Important Details about Nevada Welfare Division

  1. Where should I mail my completed Nevada Welfare Division application?

    Send your completed, signed application to the State of Nevada Division of Welfare and Supportive Services P.O. Box 15400, Las Vegas, NV 89114-5400. Make sure it is complete to avoid any delays in processing.

  2. What assistance programs can I apply for using the Nevada Welfare Division form?

    You can apply for Food Assistance through the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) with this form. SNAP helps buy food, while TANF provides cash assistance to families with children to meet basic needs.

  3. How quickly can I receive SNAP benefits?

    Snap benefits are processed within 30 days from the application date. If your household has little or no income, you may be eligible to receive SNAP benefits within 7 days from the application date.

  4. What does expedited service mean, and who qualifies for it?

    • Households with less than $150 in monthly gross income and no more than $100 in liquid resources.
    • Migrant or seasonal farmworker households who are destitute with liquid resources not exceeding $100.
    • Households whose combined monthly gross income and liquid resources are less than their monthly rent or mortgage and utilities.

    These households are entitled to expedited processing and should receive SNAP benefits within 7 days.

  5. Why do I need to provide Social Security Numbers (SSN) for all applying members?

    Providing SSNs is necessary for verifying your household’s income and resources, conducting matching with other agencies, and ensuring no duplicate benefits are received. It is mandatory for SNAP and TANF applicants as part of the eligibility requirements.

  6. What happens if someone in my household does not want to or cannot provide their citizenship/immigration status?

    For SNAP, any person who does not provide citizenship or immigration status will be ineligible for benefits, but it does not affect the eligibility of other household members. In the case of TANF, if a required member fails to provide this information, the entire household may be ineligible for benefits.

  7. What if I need help filling out the application? Are there any resources available?

    You can get help by calling 1-800-992-0900 ext 47200, emailing welfare@dwss.nv.gov, or visiting https://dwss.nv.gov. Language interpreters and assistance for those with disabilities are available upon request.

Common mistakes

Filling out the Nevada Welfare Division form can be a complex process, and it's essential to approach it with care to ensure that every detail is accurate. Mistakes can lead to delays or even denials of benefits, impacting families who rely on these services. Here are four common mistakes people often make when completing the form:

  1. Not providing complete details for all household members: It's vital to list everyone living in the household, including their relationship to you, date of birth, and Social Security numbers if they are applying for benefits. Leaving out this information can result in incorrect benefit calculations or delays in processing the application.
  2. Incorrectly reporting income and resources: All income and resources must be accurately reported. This includes employment income, as well as any other sources such as child support, alimony, Social Security benefits, or unemployment benefits. Underreporting can lead to receiving more benefits than you are eligible for, which may require repayment, while overreporting can result in receiving fewer benefits than needed.
  3. Failing to provide proof of circumstances: The application requires proof of various circumstances to determine eligibility. This includes proof of income, Nevada residency, expenses, and citizenship or immigration status for all individuals applying for assistance. Not providing the necessary documentation can significantly delay the review process.
  4. Overlooking the need for expedited services: Families with little or no income and resources may qualify for expedited service, meaning they could receive SNAP benefits within 7 days. Not indicating this need on the application can result in missing out on receiving assistance more quickly during times of urgent need.

Correctly filling out the form requires attention to detail and thoroughness. It is essential to review the entire form before submission to ensure that all required fields are completed and all necessary documentation is provided. This not only speeds up the processing time but also ensures that applicants receive the correct level of benefits they are eligible for. For individuals who have difficulties with the application process, assistance is available through the Welfare Division's helpline or in-person at local offices. Utilizing these resources can provide valuable guidance and help avoid common mistakes.

In summary, when applying for assistance through the Nevada Welfare Division, take the time to gather all necessary information beforehand, double-check the details provided, and seek assistance if there are any uncertainties. This proactive approach can help ensure a smoother process and a positive outcome for you and your family.

Documents used along the form

When applying for assistance through the Nevada Welfare Division, it's essential to understand what other documents might be necessary to complete the application process effectively. Often, additional forms and documents are required to accurately assess an applicant's eligibility for benefits. Here are descriptions of four such documents often used alongside the Nevada Welfare Division form:

  • Proof of Income: This includes recent pay stubs, benefits statements from other sources of income such as Social Security, unemployment benefits, or child support, and tax returns. These documents help to verify the household's income, which is crucial for determining eligibility and the amount of assistance that can be provided.
  • Proof of Expenses: Bills or statements related to housing costs (rent or mortgage), utilities, childcare, or medical expenses are often required. These documents help to understand the applicant’s monthly obligations and how they might impact their need for assistance.
  • Identification Documents: Valid identification for everyone in the household is essential. This can include driver's licenses, state ID cards, birth certificates, or immigration documents. These documents are necessary to verify the identity of applicants and their dependents.
  • Verification of Citizenship or Legal Status: For applicants not born in the United States or who have attained citizenship through naturalization, documents such as a naturalization certificate, permanent resident card, or passport may need to be provided. This ensures compliance with eligibility criteria regarding citizenship or legal status in the country.

Together with the Nevada Welfare Division application form, these documents play a vital role in providing a full picture of an applicant's financial situation and need for assistance. It's important for applicants to gather these documents ahead of time to ensure a smooth and efficient application process. Remember, the goal is to secure the necessary support to meet basic needs, and preparing these documents in advance can help expedite that process.

Similar forms

The Nevada Welfare Division form is similar to other government assistance forms in the United States, specifically those designed for applying to various assistance programs. Two such forms are the application for the Supplemental Nutrition Assistance Program (SNAP) issued by the federal government and the application for Temporary Assistance for Needy Families (TANF) that is offered both at the federal level and tailored by each state. These forms share a common purpose: to collect essential information from applicants to determine eligibility for assistance.

The federal SNAP application form, like Nevada’s Welfare Division form, requires detailed information about the applicant’s household, including income, expenses, and the number of people living in the home. Both forms inquire about additional factors such as citizenship status, employment details, and current living arrangements to ensure applicants meet the eligibility criteria. The emphasis on expedited service for households with extremely low income or resources is another shared feature, highlighting the programs' focus on providing timely assistance to those in dire need.

Similarities with the TANF application, managed by states based on federal guidelines, are also noticeable. These applications tend to request detailed household information, focusing on the family composition, income, and resources, much like the Nevada form. Both forms assess eligibility for cash assistance aimed at supporting needy families with children, requiring information on each household member’s social security number (SSN) for identity and income verification. Additionally, questions about citizenship or immigration status and the requirement for certain verifications, such as income and residency documentation, mirror the comprehensive approach of the Nevada application to determine eligibility and prevent program misuse.

Dos and Don'ts

When filling out the Nevada Welfare Division form, it's important to pay attention to both what you should and shouldn't do to ensure your application is processed efficiently and accurately. Here are six key points to consider:

  • Do provide accurate and complete information for every question to the best of your ability. Incomplete or false information can lead to delays or denial of benefits.
  • Do include Social Security Numbers (SSN) for all persons applying for assistance, as it's used to verify household income and resources among other checks.
  • Do provide proof of citizenship or immigration status for all applicants, as required, to determine eligibility for benefits.
  • Don't overlook the need for required verifications, such as proof of income, residency, and expenses. Providing these documents upfront can expedite the review process.
  • Don't hesitate to designate an authorized representative if needed. If someone else is better suited to complete or discuss your application on your behalf, make sure to officially assign them as your representative.
  • Don't fail to update your information if your circumstances change. Keeping your application information current can affect your eligibility and benefit levels.

It's also vital to remember that the application asks you to list everyone in your home, regardless of whether you consider them part of your household for program purposes. This includes providing information on any expected child if someone is pregnant.

Mail your completed application to the State of Nevada Division of Welfare and Supportive Services at the provided address. If you encounter any difficulties while filling out your application or need clarification, don't hesitate to reach out for help through the provided phone numbers or email.

Finally, applying for assistance is a significant step towards securing the support your household needs. Paying close attention to the dos and don'ts of the application process can help ensure a smoother, more straightforward experience.

Misconceptions

When it comes to applying for assistance from the Nevada Welfare Division, many people hold various misconceptions about the process and the requirements. Understanding these misconceptions can help applicants better navigate the system and access the benefits they need. Here are nine common misconceptions explained:

  • Providing Social Security Numbers (SSNs) is mandatory for all applicants. While SSNs are requested for all household members applying for assistance to verify eligibility, for SNAP, individuals can still apply but will not be eligible for benefits if they do not provide their SSN. Other household members may still qualify.
  • All household members must have qualifying immigration status for the household to receive TANF benefits. If a required household member does not provide verification of their immigration status, the entire household becomes ineligible for TANF, highlighting the importance of this requirement for assessing eligibility.
  • Denial for one program leads to automatic denial for all. Applications for different programs are processed independently. Therefore, being denied for one program does not mean automatic denial for others.
  • Applicants must complete the entire application process in English. Assistance and resources are available in multiple languages, and interpreters can be provided to ensure that all applicants have the opportunity to understand and complete the application process.
  • Expediting SNAP benefits takes a long time. Certain households are eligible for expedited processing, potentially receiving SNAP benefits within 7 days under specific conditions, such as having very low income or being a destitute migrant or seasonal farm worker.
  • It's difficult to know where to send the completed application. The form clearly states the mailing address for submission, and applicants also have multiple options for assistance, including by phone, email, or visiting a local DWSS District office.
  • All applicants must go through a face-to-face interview without exception. While most people applying for SNAP and/or TANF must attend an interview, accommodations are available for those with physical or mental conditions, and the need for an interpreter can be accommodated.
  • Applications cannot be started without complete information. An application for Food Assistance can be initiated with just a name, address, and signature. Additional information and documentation can then be submitted at or before the interview.
  • Applying for benefits is unnecessarily complicated. While the application process involves providing detailed information, the Division of Welfare and Supportive Services offers various forms of assistance to applicants, including help with completing the application and identifying the necessary documentation to support their application.

Clearing up these misconceptions can make the application process for Nevada's assistance programs more accessible and less daunting for those in need. It's crucial for applicants to utilize the available resources and assistance provided by the Nevada Welfare Division to ensure they can successfully navigate the application process and receive the benefits for which they are eligible.

Key takeaways

  • Applications for both the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) can be initiated with the Nevada Welfare Division form, each aimed at supporting different needs within low-income households. SNAP provides food assistance while TANF offers cash help for families with children.
  • SNAP benefits are aimed to be processed within 30 days of application, with provisions for expedited service within 7 days for eligible households having extremely low income or resources, or those that are migrant or seasonal farm workers.
  • TANF benefits start from the date of approval or 30 days post-application, whichever comes first, and are subject to a processing time of up to 45 days unless there are unusual circumstances delaying the process.
  • Applicants are required to provide Social Security Numbers (SSN) for all household members applying for benefits. For SNAP, benefits are withheld if an applicant refuses to provide their SSN, whereas for TANF, non-compliance by any household member results in disqualification for the entire household.
  • Citizenship or immigration status verification is mandatory for assistance eligibility. Applicants not willing to disclose this information for SNAP can result in ineligibility, and for TANF, it can render the whole household ineligible.
  • The form must be mailed to the State of Nevada Division of Welfare and Supportive Services at the provided address upon completion. It’s important to ensure all necessary documents and information are accurately filled out to avoid any delays in the eligibility determination process.
  • Assistance is available for those needing help filling out the form, including language interpreter services, which is especially crucial for applicants facing language barriers or who have special requirements for communication.
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