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Appendix V
SAMPLE FLYER
DISASTER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM FOR VICTIMS OF HURRICANE _________
The City of ________ is authorized to implement the Disaster SUPPLEMENTAL NUTRITION ASSISTANCE Program to assist the victims of Hurricane _______. Hurricane victims may be eligible for a one-time only benefit issuance. You must have incurred disaster related expenses to be eligible.
Where to Apply: Hurricane victims may apply for Disaster Food Assistance at:
____________________
____________________
____________________
The office will take applications Monday - Friday from ____ am to _____ pm.
Who May Apply: A responsible adult household member may apply for the family.
Time Limits: Applications may be submitted from ____________through_________.
Who’s Eligible: The household must have lived in the City of _______during Hurricane ______. The household must also have suffered a loss of income or damage to home property or self-employment business.
To determine the household’s income, the net income (take-home pay) from wages or self- employment, assistance payments and other unearned income, such as Social Security or child support, that a household receives will be added to cash on hand and other accessible funds (such as money in checking and savings accounts). Compare your income and household size to the following income limits:
Number in Household 1 2 3 4 5 6 7 8 Income Limit $3,156 $4,107 $4,720 $5,561 $6,130 $6,848 $7,369 $7,892
Note: For households of 9 or more, add+$523 $393 for each additional household member to the limit.
Benefit Levels: Eligible households will receive a one-time, ne-month allotment of food assistance benefits.
Verification Needed: Individuals applying for disaster food assistance need to bring documents to prove their identity and residence in the City of ________.
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