1634b dss form 2025

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  1. Click ‘Get Form’ to open the 1634b dss form in the editor.
  2. Begin by entering the 'Case Name' and 'Case Number' at the top of the form. Ensure that these details are accurate as they are crucial for identification.
  3. In the section stating 'I hereby certify...', fill in the date when the food was destroyed and specify the amount of food stamp benefits lost. This information is essential for processing your affidavit.
  4. Sign and date the form in the designated areas under 'Client’s Signature' to validate your claim.
  5. For DSS use, ensure that any necessary verification documents are attached if you are requesting a replacement of food. Fill in details regarding authorization or denial as applicable.

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Some categories of people are not eligible for SNAP regardless of their income or assets, such as individuals who are on strike, all people without a documented immigration status, some students attending college more than half time, certain immigrants with lawful immigration statuses, and certain people with drug-
Essential expenses such as rent/mortgage payments, utility bills, medical expenses, and childcare expenses are typically considered qualifying expenses for food stamps. Non-essential utilities like cable and internet bills, as well as phone bills, are generally not eligible.
Submit Form H1855 by mail to Texas Health Human Services, PO Box 149027, Austin, TX 78714 9027, or. Fax Form H1855 to 877-447-2839.
You can apply directly with the State of Missouri online by visiting myDSS.gov or calling the Missouri Family Support Division at (855) 373-4636. You can also visit your local FSD office for assistance. If you have questions or would like support with the application, one of our food bank network team members can help!
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