Addendum C

INFORMATION ON THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

Dear Parent/ Guardian:

If your children qualify for free school meals or milk, you might also qualify for SNAP (formerly called Food Stamps). SNAP helps people buy food for themselves and their families. SNAP benefits are issued each month on plastic debit cards. You can use SNAP benefits to buy food at major supermarkets, neighborhood grocery stores and some farmers' markets authorized to accept SNAP. Gross Monthly Gross Annual

Household Size Income Income

HOW TO QUALIFY $1,815 $21,780

If and how much SNAP you qualify for depends on: 2 $2,456 $29,472

• your household's income; 3 $3,098 $37,176

• allowable deductions to your household's income 4 $3,739 $44,868

(examples include monthly shelter expenses, medical 5 $4,380 $52,560

bills, court ordered child support); 6 $5,022 $60,246

• your household size; and 7 $5,663 $67,956

• 8 $6,304 $75,648 at least 5 years U.S. residency for Legal Permanent Resident non-citizens.

For each -+£42 +7704 additional member

If you have access to the Internet, you can go online to see if Larger households " higher incomes

you are eligible for SNAP. Go to www.connect.ct.gov and click "Am I Eligible?" or owning a car will not prevent you from being eligible for SNAP.

Owning your own home

TO APPLY OR GET MORE INFORMATION

• To find your local Connecticut Department of Social Services (DSS) office, call United Way's free referral number 2-1-1 (free call statewide).

• You can apply online at www.connect.ct.gov (click "Apply for Benefits"). You can get the paper SNAP application in English at www.ct.gov / dss/lib/ dss/pdfs/ applications/w-1e.pdf or in Spanish at www.ct.gov / dss/lib/ dss/pdfs/ applications/w-1es.pdf.

• The Community Health Center Association of Connecticut works with the following community health centers, which will help you enroll in SNAP.

(.~ Commtmity Health Center ~ Association of Connecticut

HARTFORD COUNTY AND AND NEW LONDON MIDDLESEX NEW HAVEN LITCHFIELD FAIRFIELD COUNTY

I WINDHAM COUNTY I I !

TOLLAND COUNTY COUNTY COUNTY COUNTY COUNTY

Community Health Services Hartford 860-249-9625

Charter Oak Health Center Hartford 860-550-7500

Intercommunity, Inc. East Hartford 860-569-5900

First Choice Health Centers East Harford, Manchester, Vernon 860-528-1359, exl241

Wheeler Clinic Bristol 860-9204175

Generations Family Health Center Willimantic, Norwich, Putnam 860450-7471 , ext. 6300

United Community & Family Services Norwich, New London, Plainfield, Jewett City 860-8224353

Community Health Center Association of Connecticut Middlesex County 860-667-7820, ext. 318

Cornell Scott Hill Health Center New Haven 203-503-3000

StayWell Health Center Waterbury 203-756-8021, ext 3814

FairHaven Community Health Center New Haven 203-777-7411 , ext. 5082

Community Health & Wellness Center of Greater Torrington 860-387-0448

Connecticut State Department of Education • Revised August 2016 • Page 1 of 2

Norwalk Community Health Center Norwalk 203-899-1770, ext. 1203

Optimus Health Care Bridgeport, Stamford, Stratford 203-696-3260, ex. 3326

CIFC Greater Danbury Community Health Center 203-743-0100, ext. 254

Southwest Community Health Center Bridgeport 203-332-3542

Addendum C

INFORMATION ON THE SNAP, continued

t ti""-""U l it U i ~l " l "t

Dt!'~"'TOf~t."CATI0:-1'

171is handout is available at wv.rw.sde.ct.gov/sdelliblsde/pdfldeps/nutrition/fomlsiAddC.pdf

In accordance with Federal dvi/ rights law and U.S. Department of Agrim/ture (USDA) tivil rights regulations and polities, the USDA, its Agemies, qffim, and emplv•ees, and institutions partit.ipating in or administeri1rg USDA programs are prohibited from discriminating based 011 race, color, national origin, sex, disabiliry, age, or reprisal or retaliation for prior tivil rights adivi!J• in ai!J program or activi(Y conduded or funded I?;• USDA.

Persons with disabilities who require altemative means of mmmrmit"Cltion for program infomration (e.g. Braille, large print, audiotape, Amerimn Sign Language, etc.), should coJrtad the AgenD' (Stale or lot"Cl!) where thry applied for benefits. Individuals who are decif, hard of hearing or have spm·h disabilities mtl)' mntad USDA throrrgh the Federal Reltl)' Seruit-e at (800) 817-8339. Additionai!J, program injom1alion mtl)' be made available in lmrguages other than English.

To file a program tvmplaint of discrimination, tvmplete the USDA Program Dimimination Complaint Fom1, (AD-3027) found online at: http:// www.astr.usda.gov/ tvmplaint_jiling_ctlst.htm/, and at a/!)' USDA qffit-e, or write a letter addressed to USDA and provide in the letter all of the in.fomration requested in the fomJ. To request a copy of the tvnplaint fomJ, call (866) 632-9992. Submit your tvnpleted form or letter to USDA f?J•:

(1) mail: U.S. Departmmt of Agrimlture Offit·e of the AssistantS m·etmy for Civil Rights 1400 Independem-e Avenue, SIP' Washi1rgton, D.C. 20250-9-1-10;

(2) fax: (202) 690-l.J.-1-2; or (3) email.· program.intake@usda.gov.

This institution is an equal opportmri(Y provider.

The Comrettimt Stale Department of Edumtion is mmmitted to a poliry of equal opporlmriry/ ajJim1ative attion for all qualified persons. The Connectimt Slate Departmmt of Edumtion does not discriminate in ai!J employment pradice, edumtion program, or edumtiona/ adivi(Y on the basis of rat-e, tv lor, religious med, sex, age, national origin, anmll)', marital status, sexual orientation, gmder identi!J• or e:>:pression, disabili!J• (induding, but not limited to, intellectual disabiliry, past or pmml history of mmta/ disorder, pf?pit"Cll disabili(Y or /eamilrg disabili(Y), gmelit· infomJation, or a!!)' other basis prohibited f?y Comredimt stale and/ or federal nondimimination laws. The Comredimt Stale Deparlmmt of Edumtio11 does nottmlawfui!J dimiminate in employment and limrsing against qualified persons with a prior criminal convidion. Inquiries regarding the Department ofEducatioJr's nondimimination policies sho11/d be directed to: Ul!J' Gillespie, Eq11al Emplf!J'IlleJtt Opporttmi!J• Diredor/ Amerimns with Disabilities Ad Coordinator, Comredimt State Department of Edut"Cltion, 25 Industrial Park Road, Middletown, CT 06-1-57, 860-807-2071, Lery.Gi/lespie@tt.gov

Connecticut Stale Department of Education • Revised August2016 • Page 2 of 2