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COMBINED MANUAL

ISSUE DATE 02/2022

APPLICATIONS

0005

A simplified application is available for seniors applying for the Supplemental Nutrition Assistance Program (SNAP). This simplified application form is the Supplemental Nutrition Assistance Program (SNAP) Application for Seniors (Individuals and couples age 60 and older) (DHS-5223F) (PDF).

Everyone in the household must be age 60 and older to use this application. If there are other persons under the age of 60 who are applying, the Combined Application Form (DHS-5223) (PDF) or MNbenefits must be used.

MSA, GA, GRH: Follow general provisions.