Delaware DHSS Application for Food Benefits and Assistance
This file contains the application for food benefits, cash assistance, medical assistance, and child care assistance through Delaware Health and Social Services (DHSS). It provides details about eligibility requirements and application processes. Users can access help and guidelines for filling out the application efficiently.
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How do I fill this out?
Filling out the application requires you to provide accurate personal and household details. Be prepared to include information on income and current health insurance. Follow the specific instructions provided on the application for a smooth submission.

How to fill out the Delaware DHSS Application for Food Benefits and Assistance?
1
Read the application carefully and determine which programs you are applying for.
2
Gather necessary documents, such as Social Security numbers and income information.
3
Complete the application form with accurate details.
4
Sign the application to confirm the provided information.
5
Submit the application via mail or in person as instructed.
Who needs the Delaware DHSS Application for Food Benefits and Assistance?
1
Families seeking financial support for food benefits.
2
Individuals requiring medical assistance for health coverage.
3
Parents needing child care assistance during work hours.
4
Low-income households looking for cash assistance.
5
Immigrants applying for resources for their children.
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What are the instructions for submitting this form?
To submit the application, mail it to the Delaware Health and Social Services at 1901 N. DuPont Hwy., Lewis, DE 19980. Alternatively, applications can be submitted online through the DHSS website. Ensure you include all required documents for your application to be processed efficiently.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, there are no specific deadlines for applying for these benefits. It is advisable to submit your application as soon as you are eligible to ensure timely processing. Stay informed by regularly checking the DHSS website for updates.

What is the purpose of this form?
The purpose of this form is to provide an application for food benefits, cash assistance, medical assistance, and child care assistance in Delaware. It aims to help eligible individuals and families in need receive financial support and access essential services. By filling out this application, users can determine their eligibility and apply for the necessary assistance programs.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: The applicant's first name.
- 2. Last Name: The applicant's last name.
- 3. Address: The current residence address.
- 4. Income: Total monthly income from all sources.
- 5. Household Members: Names and relationship of household members.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be able to access assistance programs. Delays in submission can result in loss of potential benefits. It is crucial to submit the application to ensure eligibility is evaluated timely.
- Loss of Benefits: Without submission, you risk missing out on financial support.
- Delays in Services: Late submissions may lead to postponed access to assistance.
- Eligibility Uncertainty: Failure to submit means your eligibility for programs remains unassessed.
How do I know when to use this form?

- 1. Food Benefits: To apply for food assistance for you and your family.
- 2. Cash Assistance: For those requiring financial help to cover basic needs.
- 3. Medical Assistance: To gain access to healthcare services and support.
- 4. Child Care Costs: For families needing help with child care expenses.
- 5. Emergency Support: In case of sudden financial crisis or loss of income.
Frequently Asked Questions
How can I fill out this application?
You can fill out the application by providing detailed information about yourself and your household.
What documents do I need for the application?
You will need income proof, Social Security numbers, and details of your current health insurance.
Is there an online option for application submission?
Yes, you can submit your application online as instructed in the document.
Can someone help me with the application?
Yes, a friend or relative may assist you in completing the application if needed.
How will I know if my application is approved?
You will receive instructions on the next steps after your application is processed.
What if I can't provide all required information?
You should sign and submit your application anyway; you can provide missing information later.
Can I apply for multiple benefits at once?
Yes, you can apply for various programs by completing the application.
How do I contact DHSS for assistance?
You can reach the DHSS Customer Relations Unit at 1-800-372-2022 for help.
What is the EBT card?
The EBT card is used for receiving food benefits, allowing you to purchase eligible food items.
Is there a deadline for submitting the application?
No, you can apply anytime, but timely submission is encouraged to access benefits quickly.
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