Do you give us permission?
 
 
Food Assistance  
You can have someone fill out your application, answer questions for you, give information at your interview, and buy food with an EBT card. If you choose to have someone help you, we will be able to share information with this person.
 
If you want us to share information with someone that will help you, tell us about the person.
 
Their name  
First name   MI Last name Suffix
Their address Apt
City State ZIP
Their telephone number    ()  -
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