Oregon PDF Docs

Oregon PDF Docs
Homepage ➼ Free Oregon Snap Change Report Form
Content Overview

The Oregon SNAP Change Report form is an essential document for individuals and families participating in the Supplemental Nutrition Assistance Program (SNAP), previously known as food stamps. This program is designed to assist low-income households in purchasing food and maintaining proper nutrition. Eligible participants receive benefits primarily through Electronic Benefits Transfer (EBT) cards, commonly referred to as Oregon Trail cards, which function similarly to debit cards. The form serves multiple purposes, including reporting significant changes in a household's circumstances, such as income fluctuations, changes in household composition, or alterations in living expenses. It is crucial for beneficiaries to understand their eligibility criteria, which include resource and income tests, as well as specific rules governing non-citizen eligibility. Additionally, the form outlines the process for applying for benefits, the types of deductions that can be claimed to increase benefit amounts, and the necessary steps to take if a participant's application is denied or if they disagree with their benefit allotment. By keeping track of these changes and reporting them accurately, participants can ensure they receive the correct level of assistance to support their nutritional needs.

Similar forms

  • Welfare Change Report Form: Similar to the Oregon SNAP Change Report, this form is used to report changes in circumstances that may affect eligibility for welfare benefits. Both documents require individuals to provide updated information about income, household composition, and other relevant factors.
  • Medicaid Change Report Form: This form is used to inform Medicaid of any changes in a beneficiary's situation. Like the SNAP Change Report, it focuses on ensuring that the information on file is current to determine ongoing eligibility for benefits.
  • TANF Change Report Form: The Temporary Assistance for Needy Families (TANF) Change Report serves a similar purpose. It allows recipients to report changes that could impact their financial assistance, mirroring the requirements of the SNAP Change Report.
  • Alabama Bill of Sale Form: For those looking to complete vehicle transactions, refer to our comprehensive Alabama ATV Bill of Sale form for proper documentation and legal compliance.
  • Housing Assistance Change Report: This document is used by individuals receiving housing assistance to report changes in income or family size. Both forms aim to keep assistance levels appropriate based on the current circumstances of the household.
  • Child Care Assistance Change Report: Families receiving child care assistance must report changes that may affect their eligibility. This form, like the SNAP Change Report, ensures that benefits are adjusted according to the latest household information.
  • Unemployment Benefits Change Report: This form is used by individuals receiving unemployment benefits to report changes in their job status or income. Both documents require timely updates to maintain eligibility and ensure that benefits reflect the current situation.

Preview - Oregon Snap Change Report Form

SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP, FORMERLY FOOD STAMPS)

1.WHAT IS THE SUPPLEMENTAL NUTRITION ASSISTANCE, SNAP (FOOD STAMP) PROGRAM?

The SNAP program (formerly the Food Stamp Program) is a federal program to help low- income households maintain proper nutrition by giving them a means to purchase food. Most SNAP households now receive Electronic Benefits Transfer (EBT) cards. These cards are also known as Oregon Trail cards. These cards work like ATM or bankcards. You will be given a PIN (Personal Identification Number) to access the funds in your food stamp account.

Some SNAP households in Clackamas, Columbia, Multnomah and Washington counties are eligible to receive SNAP benefits by direct deposit into a bank account as an alternative to receiving SNAP by EBT. This is available if everyone in the household is 65 or older or receives SSI.

OAR 461-165-0082

2.AM I ELIGIBLE FOR SNAP BENEFITS?

You are eligible for SNAP benefits if you are a U.S. citizen and your income is modest or low.

3.AM I ELIGIBLE FOR SNAP BENEFITS IF I AM NOT A U.S. CITIZEN?

If you are not a citizen, you might be able to receive SNAP benefits if you are a permanent resident, you entered the US lawfully, and you meet certain other requirements. Some lawful permanent residents can receive SNAP benefits immediately, while others may have to live in the US lawfully for five years before becoming eligible to receive SNAP benefits. Your immigration status at the time you entered the US will determine whether you are eligible for SNAP benefits immediately or whether you have to wait five years. Children under 18 years of age, and disabled adults who reside in the US lawfully are eligible for SNAP benefits without waiting five years. The non-citizen eligibility rules are very complicated. If you are a non-citizen and have questions about whether you are eligible for SNAP benefits, call the Public Benefits Hotline at 1-800-520-5292.

OAR 461-120-0125

4.ARE THERE FINANCIAL FACTORS I MUST MEET IN ORDER TO BE ELIGIBLE FOR SNAP BENEFITS?

To get SNAP benefits there are two financial tests you must meet.

Legal Aid Services of Oregon and Oregon Law Center

Public Benefits Hotline – 1-800-520-5292

This pamphlet is for general educational use ONLY. Consult an attorney for more information or advice.

It is not a substitute for individual legal advice. Please remember the law is always changing.

www.oregonlawhelp.org

(1)Resource Test. Your total resources (checking accounts, savings accounts, stocks and bonds, equity in vehicles, real property, etc.) cannot be more than $2,000 per household. If there is an individual who is 60 years or older or disabled, their resources cannot be over $3,250.

OAR 461-160-0015

Some people are “categorically eligible”. That

means that the resource and the income tests don’t apply to you. You do not have to meet the

income or resource test if you receive certain other public benefits such as TANF (or any benefit or service funded by TANF such as child care, JOBS benefits, TA-DVS), SSI, or if your countable income is less than 185% of the federal poverty rate and you have received the Information and Referral Services pamphlet from DHS.

OAR 461-135-0505

(2)Income Test. You must meet the countable income (income before taxes are deducted from your check and after exclusions are deducted from your income) and adjusted income (income after deductions are taken) limits. If

there is someone over 60 or disabled or

“categorically eligible” (on TANF or receiving services under TANF, SSI, or has income that is less than 185% of the poverty level and has received a pamphlet about Information and Referral Services), then they only have

to meet the adjusted income limit.

OAR 461-135-0505; 461-160-0020 461-160-0400; 461-160-0430

If you are self-employed, there is a special income test to determine your eligibility for SNAP benefits. If you have any qualifying

business expenses you will have 50% of your gross receipts excluded from your income to determine if you are eligible for SNAP benefits.

OAR 461-145-0920, 461-145-0930

5.HOW MUCH WILL I GET IN SNAP BENEFITS?

Your SNAP benefits will be based on your household or family size and income. There are also deductions that you can get. The deductions will reduce the income that will be counted for SNAP benefits (and increase your SNAP benefits). The deductions that you may qualify for are:

(a)dependent care costs;

(b)for people who are 60 or over or disabled, medical and dental costs, including nursing care, attendants and housekeepers, assistance animal costs, medical transportation and lodging, medical insurance and co-payments, medications and medical supplies;

(c)an earned income deduction if your income comes from working;

(d)a standard deduction based on the number of people on your SNAP benefits grant;

(e)child support payments that you pay for a child not in your household;

(f)a shelter deduction for your housing and

utilities.

OAR 461-160-0400; 461-160-0415 461-160-0420; 461-160-0430

6.HOW DO I APPLY?

If there are minor children in your household or you are an adult without a disability and you do not have children in your household, contact your local

This pamphlet is for general educational use ONLY. Consult an attorney for more information or advice.

It is not a substitute for individual legal advice. Please remember the law is always changing.

Legal Aid Services of Oregon and Oregon Law Center

2

Department of Human Services (DHS)

 

you work at least 20 hours per

office.

 

week including self-

If there are no minor children in the

 

employment if the self-

 

employment income is at least

household, and you are elderly or

 

 

equal to federal minimum

disabled, contact the Aging and People

 

 

wage multiplied by 20 hours

with Disabilities Office.

 

 

per week; or

 

 

 

The agency must issue your SNAP benefits

 

you are a student responsible

within30 days from the date you submit your

 

for the care of a child in your

application providing you submit the necessary

 

home and the child is under

documents to them (i.e., utility bills, rental

 

age 6 or age 6 through 11 and

agreements, proof of income and citizenship,

 

DHS determines that adequate

information on resources). If you need SNAP

 

child care is not available; or

benefits more quickly than that, you should

 

you are a student who is a

apply for "expedited" SNAP benefits. When you

 

single adult with the

first apply for SNAP benefits, and then once

 

responsibility of caring for a

each year after that, you will have an interview

 

child under 12; or

in the office or by telephone. This interview

 

you are student receiving

should be on the day that you apply for benefits.

 

TANF

If you cannot have an interview on that day, you

you are a student who is physically

can ask for a special appointment. Your

 

or mentally unable to work and you

caseworker is required to interview you within

 

go to school at least half-time; or

20 days from when you apply.

you are a student between 18 and

 

OAR 461-115-0210; 461-115-0230

 

49 and enrolled in an institution of

 

 

higher education less than half-time;

 

Family Services Manual FS B 8

 

7. WHAT ARE THE OTHER

or

ELIGIBILITY REQUIREMENTS FOR

you participate in an employment

SNAP BENEFITS?

 

training activity through the

(1)

Students

 

Workforce Investment Act, a

 

displaced workers program, JOBS, or

If you are 18 or older but under 50 and

 

employer sponsored on-the-job

you are a post-secondary student, and go

 

training;

to school at least half-time, you can only

 

OAR 461-135-0570

get SNAP benefits if:

 

 

You are not disabled, and you go

If you are a post-secondary student and do not

 

to school at least half-time, and:

fall into one of the categories listed above, you

you are a student approved for will not qualify for SNAP benefits. For more

state or federally-funded

information, call the Public Benefits Hotline

work-study job and you

(1-800-520-5292) or your local Legal Aid office

perform the work unless

for possible advice or representation. Go to

there’s no work-study work

www.oregonlawhelp.org for a directory of legal

available; or

aid programs.

This pamphlet is for general educational use ONLY. It is not a substitute for individual legal advice. Consult an attorney for more information or advice. Please remember the law is always changing.

Legal Aid Services of Oregon and Oregon Law Center

3

(2)Work Requirements

To be eligible and maintain eligibility for SNAP benefits, you must accept offers of employment, even if it is temporary or part-time;

You must also maintain employment by not voluntarily reducing your hours below 30 hours per week, not quitting your job within 30 days prior to your application (or any time you receive SNAP benefits), and by not being dismissed for striking while a federal, state, or county employee;

If you are not already working,

you must lookfor a job or go to job search training classes, and accept job offers;

(3)You do not have to participate in the OFSET Program (the SNAP work search program) if you:

have a disability that prevents you from working;

are participating in a drug or alcohol rehabilitation program;

are pregnant or responsible for the care of a child under 6 years old or a disabled person;

are a student attending high school or a training program or institution of higher learning at least half time;

receive unemployment benefits or have applied for them and you are required to register for work through the Employment Department;

lack adequate child care, transportation or have another serious problem that prevents you from participating in the OFSET Program.

are in the TANF program.

OAR 461-130-0315, 461-135-0521, 461-190-0310

8.WHAT IF I APPLY AND I AM DENIED SNAP BENEFITS?

If the Division denies your SNAP benefits application, they must send you a notice stating the reasons why. If you feel the decision is incorrect, you have 90 days from the date of the notice to request a hearing. In order to have a hearing, can just ask DHS for a hearing, but it is better to fill out and file a hearing request form.

To obtain this form go to your local DHS office and ask the receptionist for a DHS Form 443 (Administrative Hearing Request) or get it on

the Internet. (Go to www.dhs.state.or.us. Click on “Forms” at the top. Then click on “Find a

DHS Form.” Put in 443 for the number and click on “Search.”)

Immediately fill out the form and turn it back in to the receptionist. Ask the receptionist for a receipt to prove you turned in the form. To find out about your hearing rights, call the Public Benefits Hotline (1-800-520-5292) or your local Legal Aid office for possible advice or representation. Go to www.oregonlawhelp.org for a directory of legal aid programs.

OAR 461-025-0310

9.WHAT IF I DISAGREE WITH MY SNAP BENEFITS ALLOTMENT?

You have a right to request that your worker show you how your SNAP benefits were calculated. You are entitled to certain income

This pamphlet is for general educational use ONLY. Consult an attorney for more information or advice.

It is not a substitute for individual legal advice. Please remember the law is always changing.

Legal Aid Services of Oregon and Oregon Law Center

4

deductions for earned income that you report, child care and child support that you pay, and shelter costs. You should ask your worker to provide you with DHS Form 221 (SNAP Benefits Computation.) This is a computer- generated form that will show you how the DHS arrived at the allotment. Review this form carefully to determine that all information is correct and that you received the correct deductions. If you find any errors, notify your worker immediately and request a hearing.

10.HOW DO EBT (OREGON TRAIL) CARDS WORK?

When you are determined to be eligible for SNAP benefits, you will be sent an EBT card (also called an Oregon Trail Card). The SNAP benefits payment you are eligible to receive will be held in an account for you that can only be accessed with your EBT/Oregon Trail Card using your PIN (Personal Identification Number).

When you buy groceries at major supermarket outlets (Safeway, Fred Meyer, etc.), the check stand computer will automatically separate your food items from your non-food items. You will then slide your EBT/Oregon Trail card through the machine and enter your PIN. The machine will subtract the total amount for the food items purchased from your SNAP benefits account. You will need to keep track of how much you have left in your account.

Some smaller markets may still have to separate your food items from non-food items by hand, but they will still accept your EBT card.

11.WHAT IF I HAVE A PROBLEM WITH MY EBT CARD?

If you have problems with your PIN, accessing your funds, etc., you can call 1-888-997-4447 to discuss your problem. If you have problems with the amount put into your account, refer to section 9 above regarding disagreement with your SNAP benefits allotment.

If you lose your EBT card, call 1-888-997-4447 right away to report that the card is lost. You will have to call another 800 number to get a new card issued. That card will have your remaining benefits on it. If someone uses your card and takes your benefits, DHS will not put the benefits back on the card, so it is important to safeguard your card and your PIN number.

12.WHAT CHANGES DO I HAVE TO REPORT TO DHS?

Some changes must be reported when they happen. Other changes must be reported in the

6th month of your SNAP grant when you file your “Interim Change Report.” The changes that

you must report depend on the reporting system you are in. You should ask your worker about your reporting requirements and make sure you understand them.

Most people are in the “Simplified Reporting System” and must only report a change in

income that brings you over the income limit for the SNAP program. That must be reported by the 10th day after the month that your income goes up.

But, there are some changes that you should report because it will help you to get more benefits. Your SNAP benefits are based on your income and certain expenses, so if your income goes down, or your countable expenses go up, you can get more SNAP benefits. The countable expenses that you should report are an increase in your housing expenses, or you start paying

This pamphlet is for general educational use ONLY. Consult an attorney for more information or advice.

It is not a substitute for individual legal advice. Please remember the law is always changing.

Legal Aid Services of Oregon and Oregon Law Center

5

child support, or you have child care expenses. Of course, you should always tell DHS when you move so that DHS has a good address for you.

If you are in the Simplified Reporting System, in the 5th month of your SNAP eligibility period,

DHS will send you an “Interim Change Report”.

You must fill it out and send it to DHS in the 6th month of your eligibility period to keep your

benefits going for the full 12 months. If you don’t file it in the 6th month, your benefits can be

suspended or even ended, so it is important to file it by the last day of the 6th month. If you file it earlier in the month, it will help DHS process your report on time.

OAR 461-170-0011, 461-170-0102

13.WHERE CAN I GET INFORMATION ON OTHER BENEFITS PROGRAMS?

For more information, call the Public Benefits Hotline (1-800-520-5292) or go to www.oregonlawhelp.org for a directory of benefits programs.

10-12

This pamphlet is for general educational use ONLY. Consult an attorney for more information or advice.

It is not a substitute for individual legal advice. Please remember the law is always changing.

Legal Aid Services of Oregon and Oregon Law Center

6

Key takeaways

  • Understand the Purpose: The Oregon SNAP Change Report form is designed to help low-income households maintain proper nutrition by reporting changes that may affect their benefits.
  • Eligibility Criteria: To qualify for SNAP benefits, you must be a U.S. citizen or meet specific criteria as a non-citizen, such as being a lawful permanent resident.
  • Financial Tests: Two main financial tests must be met: a resource test, which limits total resources to $2,000 per household, and an income test based on your household size and income.
  • Benefit Calculation: SNAP benefits depend on household size, income, and allowable deductions, such as childcare costs and medical expenses.
  • Application Process: Applying for SNAP involves contacting the local Department of Human Services (DHS) and submitting necessary documents, including proof of income and citizenship.
  • Reporting Changes: Certain changes must be reported immediately, while others can wait until the sixth month of your SNAP grant. It's essential to know what changes to report to maintain eligibility.
  • Right to Appeal: If your application for SNAP benefits is denied, you have the right to request a hearing within 90 days of receiving the denial notice.
  • EBT Card Usage: Once eligible, you will receive an EBT (Oregon Trail) card to access your benefits. Keep track of your balance and use it like a debit card for eligible food purchases.
  • Seek Assistance: If you encounter issues with your EBT card or have questions about your benefits, contact the appropriate hotline for help.

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File Details

Fact Name Details
Program Overview The Supplemental Nutrition Assistance Program (SNAP) is a federal initiative designed to assist low-income households in purchasing food. Participants typically receive benefits through Electronic Benefits Transfer (EBT) cards, also known as Oregon Trail cards.
Eligibility Criteria To qualify for SNAP benefits, individuals must be U.S. citizens with low to modest income. Non-citizens may also qualify under specific conditions.
Non-Citizen Eligibility Permanent residents may receive benefits if they meet certain requirements. Children under 18 and disabled adults can qualify without the five-year residency requirement.
Financial Requirements Eligibility involves passing two financial tests: a resource test (not exceeding $2,000 or $3,250 for eligible individuals) and an income test based on countable and adjusted income.
Benefit Calculation The amount of SNAP benefits received is determined by household size and income, with various deductions available to increase benefits.
Application Process Individuals can apply through the Department of Human Services (DHS). An interview is required, and expedited benefits are available under certain circumstances.
Denial of Benefits If an application is denied, the applicant receives a notice explaining the reasons and has 90 days to request a hearing for reconsideration.
EBT Card Functionality The EBT card allows recipients to access their benefits at grocery stores. Users enter a Personal Identification Number (PIN) to complete transactions.
Reporting Changes Recipients must report certain changes to DHS, including income fluctuations and changes in expenses, to ensure accurate benefit levels.

Documents used along the form

The Oregon SNAP Change Report form is a crucial document for individuals and families who receive Supplemental Nutrition Assistance Program benefits. It allows recipients to report changes in their circumstances that may affect their eligibility or benefit amounts. Along with this form, there are several other documents that are commonly used in conjunction with the SNAP program. Here’s a brief overview of these forms and documents.

  • DHS Form 443 (Administrative Hearing Request): This form is used to request a hearing if an individual's application for SNAP benefits is denied. It provides a formal way to appeal the decision made by the Division.
  • Non-disclosure Agreement form: A Georgia Non-disclosure Agreement (NDA) is a legal document that protects sensitive information shared between parties, ensuring that confidential details remain private and fostering trust in business relationships. For more details, visit Forms Georgia.
  • DHS Form 221 (SNAP Benefits Computation): This document shows how SNAP benefits were calculated. It outlines the deductions and income considered when determining the benefit amount, allowing recipients to verify accuracy.
  • Interim Change Report: This form is necessary for reporting certain changes during the SNAP grant period. It helps ensure that the benefits reflect the recipient's current financial situation.
  • Proof of Income Documentation: This includes pay stubs, tax returns, or other records that verify the household's income. It is essential for determining eligibility and benefit levels.
  • Proof of Residency: Documents such as utility bills or rental agreements can serve as proof of where a person lives. This is often required to establish eligibility for SNAP benefits.
  • Proof of Citizenship or Immigration Status: Non-citizens may need to provide documentation to verify their eligibility for SNAP benefits. This could include green cards or other immigration documents.

Each of these documents plays an important role in the SNAP application and benefits process. Understanding their purpose can help recipients navigate the system more effectively and ensure they receive the assistance they need.