[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-305833-105":53,"doc-detail-305833-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","family-investment-administration-application-for-assistance-read-online","Family Investment Administration Application for Assistance - read online","","Family Investment Administration Application for Assistance is an administrative intake form for the Maryland Department of Human Services. 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(Number and Street) |  |  | Apt. \\# | City |  |  |  |  | State | Zip Code |\n| Mailing Address (If different from home) |  |  |  |  |  |  | Cell Telephone |  |  |  |\n| Email Address: |  |  |  |  |  |  |  |  |  |  |\n| What language do you speak? □ English □ Spanish □ Other  \u003Cbr>If you do not speak English and need free translation services, call your case manager or call 1-800-332-6347.\u003Cbr>What type of assistance do you need now? (Check all that you need)\u003Cbr>□ Cash Assistance □ Child Care Services □ Supplemental Nutrition Assistance Program (SNAP)\u003Cbr>□ Medical Assistance-Do you have any unpaid medical bills from the past 3 months? □ Yes □ No\u003Cbr>Households who are approved for SNAP, TCA or TDAP are categorically eligible for Energy Assistance and automatically enrolled for Energy Assistance Benefits. If you do not wish to receive energy assistance benefits at this time, please check here. □ opt out\u003Cbr>If you are automatically enrolled, would you like to be referred for DHCD Energy Efficiency Programs (Weatherization Assistance Program-WAP)? □ Yes □ No\u003Cbr>Do you have any of these problems?\u003Cbr>□ Are you currently homeless? □ Eviction or foreclosure\u003Cbr>□ Utility shut off □ No heat □ No food □ Cannot afford childcare □ other:  Are you or anyone in your household pregnant? □ Yes □ No If yes, who?  Due Date  Are you or anyone in your household disabled? □ Yes □ No If yes, who?   Disability?   |  |  |  |  |  |  |  |  |  |  |\n| What type of assistance do you or any household members receive now or in the past? (Check Now if you are currently receiving this assistance) |  |  |  |  | Under what name? |  |  |  |  |  |\n| Now | 1. |  |  |  | 1. |  |  |  |  |  |\n| Now | 2. |  |  |  | 2. |  |  |  |  |  |\n| Now | 3. |  |  |  | 3. |  |  |  |  |  |\n| If you are applying for the Supplemental Nutrition Assistance Program (SNAP) you can complete all the form and give it to us now. You may also fill in your name, address, sign this page and give the page to us. You can then finish the rest of the application at home and bring or mail it back to the office.\u003Cbr>Your SNAP benefit is based on the date you sign this application and give it to the Department of Social Services.\u003Cbr>You may get SNAP benefits right away if you meet one of the following conditions:\u003Cbr>􀂾 Your household’s monthly rent or mortgage and utilities are more than your household’s income and resources.\u003Cbr>􀂾 Your household’s gross monthly income is less than $150, and your resources, such as bank accounts, are $100 or less.\u003Cbr>􀂾 Your household is a migrant or seasonal farm worker household.\u003Cbr>If you qualify to get SNAP benefits right away, you will receive them within 7 days from the date you sign the form; however, you may not get expedited Supplemental Nutrition Assistance Program benefits, if eligible, until we get a completed application form and interview you. |  |  |  |  |  |  |  |  |  |  |\n| YOUR SIGNATURE |  |  |  |  |  | DATE |  |  |  |  |\n| Go to 2     |  |  |  |  |  |  |  |  |  |  |\n| \u003Cbr>\u003Cbr>FOR AGENCY USE ONLY |  |  |  |  |  |  |  |  |  |  |\n| LDSS Office |  | Programs applied for or receiving |  |  |  |  |  | AU ID \\#s |  |  |\n| Case Manager’s Name |  |  |  |  |  |  |  |  |  |  |\n| Application/Redetermination Date |  |  |  |  |  |  |  | MA \\#s |  |  |\n| EXPEDITED SERVICE FOR SNAP BENEFITS (CUSTOMERS SHOULD NOT WRITE IN THIS AREA – FOR AGENCY USE ONLY) |  |  |  |  |  |  |  |  |  |  |\n\npage  \n\n| Applicants who meet the standards below are eligible to receive SNAP benefits within 7 days. The customer must be interviewed, either in person or by telephone, in order to determine eligibility for expedited service. The application must be complete, signed, and identi","cbCaisKZhkgrwABf","https://ap.wps.com/l/cbCaisKZhkgrwABf","pdf",493878,19,"English","# Your information\n# Assistance requested\n# Current or past assistance received\n# SNAP instructions and benefit timing\n# Expedited SNAP service screening\n# Household member details\n# Signatures and agency use only","[{\"question\":\"What information does the Family Investment Administration Application for Assistance collect from applicants?\",\"answer\":\"It collects your name, address, phone numbers, email, preferred language, and information about household members and circumstances such as homelessness, utility shutoff, heat/food problems, pregnancy, and disability.\"},{\"question\":\"How is SNAP benefit timing determined after submitting the application?\",\"answer\":\"SNAP benefits are based on the date you sign the application and give it to the Department of Social Services. The form explains you may receive benefits right away if specific conditions are met.\"},{\"question\":\"What criteria determine expedited SNAP eligibility?\",\"answer\":\"Applicants meeting the listed standards—such as total household income before deductions being under $150 and cash/savings under $100, or certain shelter-cost conditions, or qualifying destitute migrant/seasonal farm workers—may be eligible for expedited service within 7 days.\"}]","Family Investment Administration Application for Assistance - read online | PDF",1789829103]