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VIRGINIA DEPARTMENT OF SOCIAL SERVICES D-SNAP

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APPENDIX I

DISASTER FORMS

FORM NUMBER NAME PAGES

032-03-1120-06-eng Application for Disaster Supplemental Nutrition

Assistance Program Benefits 1-10

032-03-0663-01-eng Request for Disaster Assistance 11-12

032-03-0664-03-eng Internal Action and Vault EBT Card Authorization

for Disaster Benefits 13-14

032-03-0662-02-eng Notice of Action–Disaster Supplemental Nutrition

Assistance Program 15-18

032-03-0391-00-eng Vault EBT Card Issuance Log 19-20

D-SNAP Card Activation and PIN Selection Handout 21

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