(3) Email: institution is an equal opportunity provider.Īdditional Illinois Nondiscrimination Information Office of the Assistant Secretary for Civil Rights Submit your completed form or letter to USDA by: To request a copy of the complaint form, call (866) 632-9992. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. Additionally, program information may be made available in languages other than English. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State of Illinois Department of Human Services) where they applied for benefits. Persons with disabilities who require alternative means of communication for program information (e.g. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race,Ĭolor, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. In accordance with Federal civil rights law and U.S. SNAP and FDPIR State or local agencies, and their sub recipients, must post the following Nondiscrimination Statement: May contact USDA through the Federal Relay Service at Individuals who are hearing impaired or have speech disabilities Contact InformationĭHS, USDA, and HHS are equal opportunity providers and employers. The DHS caseworker will tell you what you need. other types of documents depending on your circumstances.proof of Social Security numbers for all people on your application.You will be asked for various types of documents such as: You will be asked to come to the office for an interview or participate by phone if you are unable to come to the office. The application process begins the day your DHS office receives your signed application. Please call our toll-free line at 1-80 (Voice), Nextalk 1-80, 711 TTY Relay, if you have questions or need help with the application.Use the DHS Office Locator to locate the Family Community Resource Center in your county to apply for benefits.
IL444-2378 B - Request for Cash Assistance, Medical Assistance, Supplemental Nutrition Assistance Program (SNAP)(IES)(pdf).Please refer to the ABE Customer Guide (pdf) and visit the ABE Customer Support Center.For more information, see Adobe Acrobat.Use the Application for Benefits Eligibility (ABE) to apply for SNAP, cash or medical assistance - online, anytime. You can purchase a PDF converter through the Office Store. Or use a third-party PDF converter tool to import your PDF into an Office file format, make your changes, and then save the file in PDF format again.
To convert a PDF and edit it in Word 2013 or newer, check out Edit PDF content in Word. Open that file in your Office program, make your changes, and then save the file in PDF format again. To add or edit text in a PDF that was made in an Office program like Excel or Publisher, start with the original Office file.
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