Yes	No
1.	Are you a California resident?

2.	Are you a U.S. citizen or a Legal Permanent Resident?
3.	Are you 60 years of age or older and/or permanently disabled?
4.	Is the sum total of your household's cash on hand, bank accounts, retirement accounts, etc. less than or equal to $3000?

If you answered yes to the above questions you may be eligible for Food Stamps,

Note: California residents that are in receipt of SSI/SSP are not eligible to receive Food Stamps. However, family members may be eligible.

If you would like assistance applying for Food Stamps, please complete the following information and click ‘submit'. We will contact you.

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