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COMMONWEALTH OF VIRGINIA DEPARTMENT OF SOCIAL SERVICES SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) NOTICE OF ACTION

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

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 CASE NUMBER

DATE

COUNTY/CITY

This is to inform you of action taken on your snap application/case.

SECTION 1. ACTION ON APPLICATION DATED Approved for following months

Amount first month $ Month covered Amount for following months $

You selected as Head of Household. If all adult members do not agree, contact your worker in 10 days.

NOTE: If you applied for both SNAP and TANF or GR-Unattached Child benefits at the same time, and then are approved for TANF or GR-

Unattached Child benefits, your SNAP amount may be reduced without advance notice. If this box is checked, your application was approved even though some verification was postponed. We need the following information

or verification from you:

If we do not receive these by your case will be closed effective

If this verification results in changes in your household’s eligibility or benefit amount, we will make the changes without another notice. Denied. If your application was denied because of your failure to provide proof/information, we will reopen your application if you provide the

information by . See Section 3 Continue to hold application pending. The cause for delay is:

Agency delay. Your application will be processed as soon as possible.

Client delay.

We are waiting for the following information from you:

We must have this information by or your application will be denied.

SECTION 2. ACTION ON SNAP CASE Changed from $ to $ effective

If this box is checked, we must receive the following verification from you:

We must receive this verification by . If your benefit amount was increased but we do not receive this verification,

your benefits will go back to the amount $ effective without advance notice. Reinstated - - Amount $ effective Supplemented - Amount $ for the month of . Suspended for the month of . Terminated effective .

SECTION 3. ACTION ON SNAP CASE

Manual Reference:

YOU MUST REPORT IF YOUR HOUSEHOLD’S INCOME GOES OVER THE LIMIT OF $ If necessary, you may call collect.

Children approved for SNAP benefits and attending public school may be eligible for free meals. Call your school for more information.

If you do not agree with the action we have taken or the amount of SNAP benefits you are receiving, you may have a fair hearing on your case. You must request your fair hearing within the next 90 days. If you appeal the action on your case before assistance may continue. However, if assistance is continued, you may have to repay SNAP benefits you received during the appeal process if the hearing decision supports the agency action. For additional information about appeals and fair hearings, please see the back of this notice.

Benefit Program Specialist

Telephone Number

For Free Legal Advice Call 1-866-534-5243

032-03-0117-21-eng (09/2024)