State of Alabama Department of Human Resources Food Assistance Application - Telephone Interview or Face-to-Face Interview

Sep 19, 2026

State of Alabama Department of Human Resources Food Assistance Application collects household identity, contact, and eligibility information, including preferred interview method (telephone or face-to-face). The form includes agency-use sections, guidance for applicants with disabilities and language needs, and rules for filing, mailing, or applying online. It explains expedited service eligibility within seven calendar days under specific income and resource conditions, then requests key financial and household details, such as cash, expected income, rent or mortgage, and migrant or seasonal farm worker status.

LanguageEnglish

CategoryForms

FormatPDF

Pages10

Reading Time4 min

AccessFree to download

Telephone Interview or Face-to-Face Interview

Agency Use Only

Disability or Interpreter Support

Applicant Rights and How to Apply

Providing Information and SSN Rules

Expedited Services

Household Members Instructions

Household Questions

State of Alabama Department of Human Resources Food Assistance Application Check here if you prefer a telephone interview or a face-to-face interview. Telephone Interview or Face-to-Face Interview AGENCY USE ONLY: Expedite Screening: Entitled Yes No Screener Signature and Date FS Case Number Check digit Processing standard Name IEVS Function PA Case No Date Received Appointment Date Time Do you need help filling out this application due to disability? Do you need an interpreter? Do you need translated materials? If yes, please ask for help at your local Food Assistance Office. Individuals who are deaf, hard of hearing or have speech disabilities can call 1-833-822-2202 using the Alabama Relay Service at 711 or 1-800-548-2546 (TTY) for assistance contacting your local Food Assistance Office. ● You have the right to file an application the same day you contact your county office. ● To file an application, you need only complete your name, address, and signature. ● Mail, fax, e-mail or take this application to the Food Assistance Office in the county where you live. You may also apply online [at ](at www.dhr.alabama.gov. If)[www.dhr.alabama.gov.](at www.dhr.alabama.gov. If)[ If](at www.dhr.alabama.gov. If) eligible for food assistance, you will receive benefits from the date we received your signed application. ● To get the address or phone number of your local county office, call toll free: [1-833-822-2202 or online at ](1-833-822-2202 or online at www.dhr.alabama.gov)[www.dhr.alabama.gov](1-833-822-2202 or online at www.dhr.alabama.gov). If you are a resident of an institution, and file a joint application for SSI and food assistance before leaving the institution, if eligible, you will receive benefits from the date you were released from the institution. | YOUR NAME (First, Middle, Last) | | | | Birth date (Month, Day, Year) | | | Social Security Number**
(Applicants Only) | | --- | --- | --- | --- | --- | --- | --- | --- | | Mailing Address | | Street Address, if different | | | | | Food Assistance Case Number | | City | County | | State | | Zip | Daytime Phone | | | Signature Date | | | | | | | | ** Providing a SSN for each household member is voluntary. However, failure to provide a SSN for each household member will result in disqualification of that member. Your household’s eligibility for food assistance benefits will be determined separately from any other programs and will not be denied solely because benefits from other programs have been denied. Your application for food assistance will be processed in accordance with Food Assistance Program regulations; timeliness, notice, and fair hearing requirements, even if you apply for other programs. EXPEDITED SERVICES You may get food assistance benefits within 7 calendar days if your food assistance household has less than $150 in monthly gross income and liquid resources (cash, checking or savings accounts) of $100 or less; or your rent/mortgage and utilities are more than your household’s combined monthly income and liquid resources; or a member of your household is a migrant or seasonal farm worker. Failure to answer the questions on this application may result in our inability to determine your eligibility for expedited services. 1. How much money do the members of your household have in cash or in a bank account? $ 2. What is the total amount of income you expect your household to receive this month? 3. What is your current monthly rent/mortgage payment? $ Utilities other than phone? $ 4. Is anyone in your household a migrant or seasonal farm worker? Yes No If yes, answer these questions: Did all of your household income stop recently? Yes No Does anyone in your household expect to receive income from a new source this month? Yes No If yes, how much? Have you or anyone in your household received or do you expect to receive Food Assistance benefits from any oth

FAQs

How can I file this food assistance application after I contact my county office?

You can file the same day you contact your county office. Complete your name, address, and signature, then mail, fax, email, or take the application to the Food Assistance Office in your county of residence.

What information is required for household members, and is providing a Social Security Number mandatory?

Providing a SSN for each household member is voluntary, but failure to provide a SSN for a member will disqualify that member. Eligibility is determined separately from other programs, and benefits are handled according to Food Assistance Program regulations.

When can I receive expedited food assistance benefits?

You may receive benefits within 7 calendar days if your household has limited monthly gross income and liquid resources, or if rent/mortgage and utilities exceed combined income and liquid resources, or if a household member is a migrant or seasonal farm worker.

Sep 19, 2026

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