Forms

Applications & Downloadable Forms

• NJ Family Care
• SNAP Benefits & Nutrition Services Pre Screening
• Verifications Check List
• Families First Program Food Stamp Application
• Household Change in Circumstances Report Form

Verifications

Please bring in the following verifications in order to help determine possible eligibility for the following programs:

• Temporary Assistance to Needy Families (TANF)
• General Assistance (GA)
• Food Stamps (Families First Card)
• Medicaid
• New Jersey Care Medicaid Program

Income

• Verification of all earned and unearned income for the most recent month.
• Most recent month’s pay stubs or a letter from employer
• Self Employment quarterly balance sheet
• Child Support and alimony verification
• Verification of Social Security SSI Disability and Pension benefits for household members
• Workers Compensation award letters
• Unemployment benefits receipts

Resources of Household Members

• Bank and or Credit Union statements
• Stock and or Bond ownership verification
• Car registrations
• Real estate ownership verification

Identity

• Driver’s license, voter registration card, work or school ID card

Residency

• Mortgage book, tax bill, rent receipt, lease. Utility bills if you are responsible for these cost
• Rental assistance award letter

Documents

• Social Security cards, or proof that you have applied for a number
• Birth certificates of children

Depending on your individual circumstances there may be other items requested in order to determine eligibility.