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Useful Forms

Produced by Caroline
Created 4 April, 2006

Here are some forms you may be able to download and use.

You can fill out some of these forms on your computer. Some you will have to print, some you will be able to save on your computer.

If you have Adobe Acrobat Reader 11, should be able to save all the forms you can fill out.

SNAP/Food Stamps Medical Deductions Checklist

You need Acrobat Reader on your computer to open this form. If you are over 60 or disabled, you may be able to get more Food Stamps/SNAP benefits by reporting all of your medical expenses. Fill out this cover letter and worksheet and give or send them to your caseworker. Keep your receipts and appointment letters. You can fill in the form on your computer and save it.

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Statement of Shelter Costs in Word

Use this form to claim for shelter costs so that you can get more Food Stamps/SNAP benefits. You can fill in the form on your computer and save.

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Child Care Statement PDF

You need Acrobat Reader on your computer to open this form. Use this form to claim for expenses you pay for child care so that you can get more Food Stamps/SNAP benefits. You can fill in the form on your computer and save it.

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Community College Student Verifcation Form

You will need Adobe Acrobat Reader to open this form. Download to your computer, complete and print. We are sorry. You cannot save the completed form on your computer.

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Archive - Income limits for TAFDC, SNAP/Food Stamps, EA shelter, and Mass Health (chart)

Archive aug 2013 This chart is current through April, 2006. It is a simple chart and does not take into account certain kinds of income that are not countable. Some people may have more income than the limits listed on this chart and still be able to get benefits.

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Child Care Statement in Word

You need Microsoft Word on your computer to open this form. Use this form to claim for expenses you pay for child care so that you can get more Food Stamps/SNAP benefits.

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Request for an ADA Accommodation

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Child Care Statement in RTF

Use this form to claim for expenses you pay for child care so that you can get more Food Stamps/SNAP benefits. You do not need to have any special program on your computer to open this form and type in the answers on your computer.

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SNAP/Food Stamps Medical Deductions Checklist in RTF

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Statement of Shelter Costs in PDF

You need Acrobat Reader on your computer to open this form. Use this form to claim for shelter costs so that you can get more Food Stamps/SNAP benefits. You can fill in the form on your computer but you must print it. You cannot save it on your computer.

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Statement of Shelter Costs in RTF

Use this form to claim for shelter costs so that you can get more Food Stamps/SNAP benefits. You can fill in the form on your computer and save.

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Request for a Waiver of TAFDC Program Requirement(s) due to domestic violence

You may be excused from certain Transitional Aid to Families with Dependent Children (TAFDC) program requirements if you or your children have been hurt by domestic violence, and meeting these requirements may hurt you or your children. Use this form to ask DTA to excuse you from certain TAFDC requirements.

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SNAP/Food Stamps Medical Expenses Sheet

If you are over 60 or disabled, you may be able to get more Food Stamps/SNAP benefits by reporting all of your medical expenses. Fill out this cover letter and worksheet and give or send them to your caseworker.

Edit | Delete

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