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COMMODITY SUPPLEMENTAL FOOD PROGRAM (CSF) CERTIFICATION FORM Last Name: First Name: Male Apt #: Address: Phone # Female Date of Birth: City: Zip: ID# SS# (Birth dateMMDDYYFirst initialism 3 letters

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How to fill out commodity supplemental food program

How to fill out commodity supplemental food program:

01

Obtain an application form from your local Department of Social Services or the USDA Food and Nutrition Service website.

02

Fill out the personal information section, including your name, address, contact details, household size, and income information.

03

Provide documentation to support your income and eligibility, such as pay stubs, tax returns, or a letter from your employer.

04

Complete the household expenses section, including rent/mortgage, utilities, and medical expenses.

05

Include the names, dates of birth, and social security numbers of all household members.

06

Indicate any special dietary needs or medical conditions that require specific food items.

07

Sign and date the application form and make sure all required information is filled out accurately.

08

Submit the completed application form to your local Department of Social Services or mail it to the address provided on the form.

Who needs commodity supplemental food program?

01

Low-income individuals and families who are at least 60 years old.

02

Pregnant women, new mothers (up to 1 year postpartum), and infants and children up to 5 years old who are at nutritional risk.

03

Individuals and families receiving Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), or certain other federal assistance programs.

Remember, eligibility requirements may vary by state, so it is advisable to consult your local Department of Social Services or the USDA Food and Nutrition Service for specific information relevant to your area.

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What is commodity supplemental food program?

The Commodity Supplemental Food Program (CSFP) is a federally funded program that provides nutritious food to low-income individuals and families, including pregnant women, new mothers, infants, children up to age six, and seniors.

Who is required to file commodity supplemental food program?

Local agencies or organizations that participate in the CSFP are required to file the program.

How to fill out commodity supplemental food program?

To fill out the CSFP, participating agencies must accurately report the number of participants served, the types and quantities of food distributed, and other relevant information.

What is the purpose of commodity supplemental food program?

The purpose of the CSFP is to improve the health and nutrition of low-income individuals and families who are at risk of malnutrition.

What information must be reported on commodity supplemental food program?

Participants served, types and quantities of food distributed, income eligibility of participants, and any other relevant information.

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