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COMMONWEALTH OF VIRGINIA DEPARTMENT OF SOCIAL SERVICES
NOTICE OF TRANSFER
Case Name: _______________________
Case Number: _____________________
Agency: __________________________
Date: ____________________________
Your Supplemental Nutrition Assistance Program (SNAP), Medicaid, or Temporary Assistance for Needy Families (TANF) case(s) was transferred to __________________________ because of your recent move to that city or county.
Your benefits for these programs will continue without interruption.
Your TANF grant will change from $ _________ to $ _________ because of your move to the new city/county.
_____ If the amount of your SNAP or TANF benefits went up because of a reported change in income, expenses, or the number of people in your household, you must show proof of the change. You will need to give this information to the new agency within 10 days or the amount of your SNAP or TANF benefits will go back to $ _________ without additional notice.
You must report changes or file applications with the new agency. The address and telephone number of the new agency is:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Telephone ________________________________________________
______________________________________ __________________________ Benefit Program Specialist Telephone Number
REMINDER: Please keep your Virginia EBT Card, if you receive SNAP benefits, your EPPICard, if you receive TANF benefits, and your Medicaid card, if you receive Medicaid. You do not need a new card just because of your move.
032-03-0658-03-eng (09/2024)