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Pennsylvania Department of Human Services - Southeastern County Assistance Offices - SNAP Food Replacement Form

Provides a fillable form to replace food lost or destroyed in a household disaster within 10 days of the storm or event.

Physical Address

1214 Veterans Highway, Bristol, PA 19007

Application process

Call the Benefits Hotline or your County Assistance Office to report the loss, then complete the affidavit (available in the Intake Website linked below) and submit it to the County Assistance Office. The COMPASS app is equipped for submission of the form as well. In person reporting is also available during normal business hours at each County Assistance Office. Hard copies of the affidavit are on-site.

Fee

Service provided free of charge

Eligibility

Current SNAP recipients

Service area

Bucks, PA Chester, PA Delaware, PA Philadelphia, PA Montgomery, PA

Agency info

Pennsylvania Department of Human Services - Southeastern County Assistance Offices

Helps families living on low incomes to pay their heating bills by providing cash grants paid directly to the utility suppliers