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Application

Alisha M. McKinney has been approved for Supplemental Nutrition Assistance Program (SNAP) benefits of $306.00 for December 2024 and $368.00 monthly from January to March 2025, based on her reported income of $1,983.00. The household size is three, and the income limit for eligibility is $4,304.00. Recipients must report any changes in income or household circumstances within 10 days to maintain benefits.

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0% found this document useful (0 votes)
3 views5 pages

Application

Alisha M. McKinney has been approved for Supplemental Nutrition Assistance Program (SNAP) benefits of $306.00 for December 2024 and $368.00 monthly from January to March 2025, based on her reported income of $1,983.00. The household size is three, and the income limit for eligibility is $4,304.00. Recipients must report any changes in income or household circumstances within 10 days to maintain benefits.

Uploaded by

alishainky
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

KIF-105.

1 COMMONWEALTH OF KENTUCKY Date: 12/09/2024


09/21 Cabinet for Health and Family Services Case Number: 110654913
Department for Community Based Services

MailId: 273789317
ALISHA M MCKINNEY
7804 JONQUIL DR
LOUISVILLE KY 40258-2442

SNAP Approval

Information about your SNAP benefits


We have approved your Supplemental Nutrition Assistance Program (SNAP) application.
Your SNAP benefits are $306.00 for December, 2024 based on your application date and
your income that month. You will get ongoing benefits of $368.00 a month from January,
2025 until the end of March, 2025. We based our decision on the information that you gave
us below.
If you or someone in your household has received a SNAP overpayment, we may use
part or all of the amount above to pay it back.

Information about your income and expenses

Gross Income (before taxes or deductions)

Earned (money from a job) $1,983.00


Unearned (money from other sources) $0.00

Expenses and Deductions


SNAP rules do not always allow us to count all the expenses you report. Here are your
expenses and the amounts we were allowed to deduct:

Actual Allowable
Earned Income (20% of gross earnings) $397.00 $397.00
Dependent Care $0.00 $0.00
Legal Child Support Paid $0.00 $0.00
Shelter/Utility $378.00 $0.00
Medical $0.00 $0.00

Information about your household

Website: [Link] 1 of 5 An Equal Opportunity Employer M/F/D


Case Number: 110654913 Date: 12/09/2024

Household Size 3
Income Limit $4,304.00

Remember!
You must report the following changes no later than 10 days after the end of the month the
change occurs:
1) When the gross income for your household size exceeds the income limit listed above;
(or)
2) When a member of your household age 18 through 54 years old, and subject to ABAWD
(Able Bodied Adults Without Dependents) requirements, has their work hours reduced to
fewer than 20 hours a week.
Gross income means the amount of all earned and unearned income before any deductions,
such as taxes, are taken out.

If you do not call to complete your renewal interview and give us the information we need by
March 31, 2025 your benefits will stop.

You will get SNAP benefits for:

KAMDEN M MCKINNEY

CASSIE L BLAIR

ALISHA M MCKINNEY

Need help? Have questions?

To get help or ask questions, call 1-855-306-8959.

Need Legal help?


If you want legal help, you may be able to get free legal help from your local legal aid office
at 1-502-584-1254.

The table below lists the income limit used for December 2024 ongoing benefits

Household Each Additional


1 2 3 4 5 6 7 8
Size Member
Income Limit $2,510 $3,408 $4,304 $5,200 $6,098 $6,994 $7,890 $8,788 $898

Website: [Link] 2 of 5 An Equal Opportunity Employer M/F/D


Case Number: 110654913 Date: 12/09/2024
Report Changes: reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other
You must report the following changes no later than 10 days
than English. Persons with disabilities who require alternative
after the end of the month the change occurs: means of communication to obtain program information (e.g.,
· When the income for your household exceeds the Braille, large print, audiotape, American Sign Language), should
gross income limit for your current household size; or contact the agency (state or local) where they applied for
· When a member of your household age 18-54 years benefits. Individuals who are deaf, hard of hearing or have
old, and subject to work requirements, begins to work speech disabilities may contact USDA through the Federal
less than 20 hours per week. Relay Service at (800) 877-8339.
· When a member of your household receives lottery or To file a program discrimination complaint, a Complainant
gambling winnings of $4250 or more.
should complete a Form AD-3027, USDA Program
Discrimination Complaint Form which can be obtained online at:
Call DCBS at 1-855-306-8959 to report any changes. [Link]
DCBS accepts calls between 8:00 a.m. and 4:30 p.m. EST from any USDA office, by calling (866) 632-9992, or by writing a
Monday through Friday and between 9:00 a.m. and 2:00 p.m. letter addressed to USDA. The letter must contain the
EST on Saturday. complainant’s name, address, telephone number, and a written
Follow these rules: description of the alleged discriminatory action in sufficient detail
to inform the Assistant Secretary for Civil Rights (ASCR) about
• Do NOT give false information or hide information to the nature and date of an alleged civil rights violation. The
get SNAP benefits. completed AD-3027 form or letter must be submitted to:
• Do NOT trade or sell SNAP benefits. 1. mail:
• Do NOT use SNAP benefits to buy ineligible items, Food and Nutrition Service, USDA
like alcoholic drinks, soap, tobacco products, firearms, 1320 Braddock Place, Room 334
ammunition, explosives, or a controlled substance as Alexandria, VA 22314; or
defined by 21 U.S.C. 802. 2. fax:
• Do NOT use your SNAP benefits for anyone outside (833) 256-1665 or (202) 690-7442; or
of your benefit group OR use someone else’s SNAP 3. email:
benefits for your household. FNSCIVILRIGHTSCOMPLAINTS@[Link]
• Do NOT give someone your EBT card and PIN to use This institution is an equal opportunity provider.
if they are not a member of your benefit group or an
Do Not Send Applications Here
authorized representative.
• DO NOT use your SNAP benefits to pay on a credit
For any other information dealing with Supplemental Nutrition
account, even if it is for SNAP eligible food.
Assistance Program (SNAP) issues, persons should either
• Do NOT sell food purchased with SNAP benefits.
contact the USDA SNAP Hotline Number at (800) 221-5689,
Penalties for breaking these rules: which is also in Spanish or call the State Information/Hotline
You may be stopped from getting benefits and you may be Numbers (click the link for a listing of hotline numbers by State);
prosecuted. You could be: found online at
[Link]
• Stopped from getting SNAP benefits for 1 year, You may also file your complaint with the Cabinet for Health and
2 years, or permanently; Family Services by writing or calling:
• Fined up to $250,000 or jailed up to 20 years, Office of Human Resource Management
or both; and EEO Compliance Branch
• Stopped from getting SNAP benefits for 10 275 E Main St 5C-D
years if you are found guilty of giving wrong Frankfort KY, 40621
information about who you are or where you 1-502-564-7770 ext. 4107
live.
How to get a Hearing:
Giving wrong information on purpose may result in us
Do you disagree with something we have done to your
taking criminal or civil legal action against you. It might also
benefits? If so, you may ask for a hearing within 90 days from
mean we reduce your benefits or take money back from
the date of this notice.
you.
Want to continue your benefits?
You have the right: Ask for a hearing within 10 days from the date of this notice.
• To quick action whenever you report a change. This may allow you to get the same benefits until the hearing
• To get notice of any action. officer makes a decision or your current certification period
• To give us information to show the proposed action ends, whichever occurs first. You may have to pay back these
should not be taken. benefits if the decision is not in your favor.
• To discuss your benefits with a worker. If you want your benefits to continue, please include the
• To receive fair treatment. following sentence in your written request: “I want my same
Complaints about your case? Call the Ombudsman at benefits continued.”
1-800-372-2973 or (TTY) 1-800-627-4702. How do I ask for a hearing?
You have rights under Section 504 of the Rehabilitation Act and Call DCBS at 1-855-306-8959; OR
the Americans with Disabilities Act. Attach a separate sheet of paper to explain your reason for
Call DCBS at 1-855-306-8959 if you have a physical or mental requesting a hearing, sign and date then:
limitation, such as mental illness, trouble learning, drug or Return to any DCBS office; OR
alcohol addiction, depression, moving around, hearing or Return to:
seeing. Here are some ways we can help: Cabinet for Health and Family Services
Division of Administrative Hearings
• We can call you if you are not able to come to our
Family and Children Administrative Hearings Branch
office;
105 Sea Hero Rd, Suite 2
• We can tell you what this letter means;
Frankfort, KY, 40601
• If you cannot do something we ask, we can help you
What will happen at the hearing?
or change what you have to do;
• You may tell your side of the story or bring a friend,
• We can help you resolve problems without a hearing;
relative, or lawyer to speak for you.
• We can help you request a hearing.
• You can bring witnesses and papers to help tell your
story.
Do Not Send Applications Here
• The hearing officer will decide what the State will do
In accordance with federal civil rights law and U.S. Department after hearing both sides of the story.
of Agriculture (USDA) civil rights regulations and policies, this • You will be told what to do if you disagree with the
institution is prohibited from discriminating on the basis of race, hearing officer’s decision.
color, national origin, sex (including gender identity and sexual
orientation), religious creed, disability, age, political beliefs, or

Website: [Link] 3 of 5 An Equal Opportunity Employer M/F/D


FS-3 COMMONWEALTH OF KENTUCKY Date: 12/09/2024
09/21 Cabinet for Health and Family Services Case Number: 110654913
Department for Community Based Services
Division of Family Support

MailId: 273789317
ALISHA M MCKINNEY
7804 JONQUIL DR
LOUISVILLE KY 40258-2442

May we help You?


We are sending this information because of what you told us on your application for
food benefits. The Cabinet for Health and Family Services offers many programs and
services. If you need help, call us at the numbers listed below. You can also visit our
website at [Link].

Income Support: Kentucky Transitional Assistance Program (KTAP) - Call


1-855-306-8959 or ask a worker at the DCBS office to
see if you may qualify. You may also visit
[Link]/benefits
Health Coverage: You may qualify for:
· Medicaid
· Kentucky Children's Health Insurance Program
(KCHIP)
· Qualified Health Plans (QHP)
· Kentucky Integrated Health Insurance Premium
Payment Program (KI-HIPP)
· Medicare Savings Program (MSP)

Call 1-855-306-8959 or ask a worker at the DCBS office


to see if you may qualify. You may also visit
[Link]
Elderly/Disabled: State Health Insurance Assistance Program (SHIP) -
1-877-293-7447
Department for Aging and Independent Living -
1-502-564-6930 or 1-888-642-1137 (TTY)
Child Support: Child Support Enforcement Hotline - 1-800-248-1163
Paternity Acknowledgement Program - 1-888-675-7425
Child Care: Child Care Assistance Program - Call 1-855-306-8959 or
ask a worker at the DCBS office to see if you may qualify.
You may also visit [Link]/benefits
Domestic Violence: Adult Abuse Hotline - 1-800-752-6200
Spouse Abuse Shelter Hotline - 1-800-544-2022
The National Victim Notification Network -
1-800-511-1670

To Report Child Abuse/Neglect: Child Abuse Hotline - 1-800-752-6200


To Report Adult Abuse: Adult Abuse Hotline - 1-800-752-6200

Website: [Link] 4 of 5 An Equal Opportunity Employer M/F/D


Case Number: 110654913 Date: 12/09/2024

Other Food Assistance for Pregnant/Post Nutrition Program for Women, Children,
Partum Women and Young Children Up to and Infants (WIC) -1-800-462-6122 or
Age 5: 1-800-648-6056 (TTY)
Women's Health Issues and Pregnancy Division of Women's Health -
Planning: 1-502-564-3236
Complaints: CHFS Ombudsman - 1-800-372-2973 or
1-800-627-4702
Paid for by TANF funds

Website: [Link] 5 of 5 An Equal Opportunity Employer M/F/D

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