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Spay Neuter Assistance Program of North Carolina P. O. Box 278, New Hill, NC 27562 919783SNAP (7627) www.snapnc.org SURGERY RELEASE FORM Neutering Nonsurgical SterilizationProcedure Date: Owner: Address:
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It is a form used to apply for SNAP benefits in North Carolina.
Any individual or household seeking to receive SNAP benefits in North Carolina.
The form can be filled out online on the North Carolina Department of Health and Human Services website, or in person at a local DSS office.
The purpose is to determine eligibility for SNAP benefits based on income and household size.
Information about household members, income, expenses, and assets must be reported.
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