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COMMONWEALTH OF VIRGINIA DEPARTMENT OF SOCIAL SERVICES SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) REQUEST FOR CONTACT

TO:

Case Name_______________ Agency: __________________ Case Number: _____________ Date: ____________________

To determine your eligibility for SNAP benefits, you must provide the following information or take the following actions:

_____ Proof of your household’s income

Verification Form Attached

_____ Other

Please take the requested action by ___________________ or we will close your SNAP case or deny your application.

________________________________________ _____________________________ Benefit Program Specialist Telephone number

032-03-0148-03-eng (09/2024)