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Be sure to mark TANF-No SNAP in the Household Composition section if you only want to apply for TANF.  \nCOMPLETING THE APPLICATION  \nIf you need help completing this application, a friend or relative or your eligibility worker can help you. If you are completing this application for someone else, answer each question as if you were that person. If you need to change an answer or make a correction, write the correct information nearby and put your initials and date next to the change. If there are more than 6 people living in your home and you need more space to list everyone, tell the agency you need extra pages. If you have a disability or have difficulty with English, you may receive extra help to make sure you get the assistance or services you are eligible to receive.  \nCOMPLETE AND ACCURATE INFORMATION  \nYou must give complete, accurate, and truthful information. If you do not give needed information, we may not be able to determine your eligibility for assistance. If you knowingly give false, incorrect, or incomplete information, or fail to report changes, you could lose your benefits and be arrested, prosecuted, fined and/or imprisoned. If you knowingly give false, incorrect, or incomplete information to help someone else receive benefits, you could be arrested and prosecuted for fraud.  \nFILING THE APPLICATION  \nYou may apply for benefits by leaving a completed application at the agency or by leaving a partially completed application with at least your name, address, and signature, or, for SNAP only, by tearing off and leaving the half-sheet on Page iii with your name, address, and signature. You must complete the rest of this application before your eligibility can be determined. For some programs, including SNAP, you must also be interviewed, but you may turn in your application before your interview. You may turn in your application any time during office hours the same day as you contact your local agency. You have the right to turn in your application even if it looks like you may not be eligible for benefits. This is important because, if you are eligible for the month in which you apply, your benefit amount will be based on the date you turn in your application.  \nVERIFICATION AND USE OF INFORMATION  \nInformation you give on this application, including Social Security numbers (SSN), may be matched against federal, state, and local records. These records include:  \n• Virginia Employment Commission (VEC)  \n• Internal Revenue Service (IRS)  \n• Social Security Administration (SSA)  \n• Department of Motor Vehicles (DMV)  \n• US Citizenship and Immigration Services (USCIS)  \n• Income and Eligibility Verification System IEVS)  \nAny difference between the information you give and these records will be investigated. Information from these records may affect your eligibility and benefit amount. Information may be used to:  \n• determine the correctness, accuracy, and truthfulness of the application;  \n• verify your identity and citizenship; verify wages and salary, unemployment benefits, and unearned income, such as Social Security and Supplemental Security Income (SSI) benefits; verify quarters of coverage under Social Security for an alien, or to verify the status of aliens;  \n• prevent receipt of benefits from mor","cbCaitXXR5aPqpaj","https://ap.wps.com/l/cbCaitXXR5aPqpaj","pdf",383596,"English","# General Information\n# Completing the Application\n# Complete and Accurate Information\n# Filing the Application\n# Verification and Use of Information\n# Civil Rights Notices","[{\"question\":\"Which assistance programs can be requested on this application?\",\"answer\":\"The application allows requests for programs including Auxiliary Grants (AG), Refugee Cash Assistance (RCA), Temporary Assistance for Needy Families (TANF), General Relief – Unattached Child (GR), SNAP, and TANF Diversionary/ Emergency Assistance. It also notes that a TANF application is treated as a SNAP application depending on household marking.\"},{\"question\":\"How should changes or corrections be made while completing the application?\",\"answer\":\"Write the correct information nearby and add your initials and date next to the change. If more than 6 people live in the home, request extra pages from the agency to list everyone.\"},{\"question\":\"How is information on the application verified and used?\",\"answer\":\"Information submitted, including Social Security numbers, may be matched against federal, state, and local records from agencies such as IRS, SSA, DMV, and USCIS. Differences may be investigated and information may be used for eligibility determination, identity verification, preventing duplicate benefits, and related program administration.\"}]","Application for Benefits | PDF",1789822652]