Form HS-3003 Affidavit Request for Snap Replacements Due to Household Misfortune and Power Outage - Tennessee

Form HS-3003 Affidavit Request for Snap Replacements Due to Household Misfortune and Power Outage - Tennessee

What Is Form HS-3003?

This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee. Check the official instructions before completing and submitting the form.

FAQ

Q: What is Form HS-3003?
A: Form HS-3003 is an affidavit request for SNAP replacements due to household misfortune and power outage.

Q: Who can use Form HS-3003?
A: Tennessee residents who are SNAP recipients and experienced a household misfortune and power outage can use Form HS-3003.

Q: What is SNAP?
A: SNAP stands for Supplemental Nutrition Assistance Program, which provides eligible low-income individuals and families with funds to purchase food.

Q: When should I use Form HS-3003?
A: You should use Form HS-3003 if you are a SNAP recipient in Tennessee and experienced a household misfortune and power outage that resulted in the loss of food.

Q: What is the purpose of Form HS-3003?
A: The purpose of Form HS-3003 is to request replacements for SNAP benefits that were lost due to a household misfortune and power outage.

Q: Are there any eligibility criteria to use Form HS-3003?
A: Yes, you must be a resident of Tennessee and a current SNAP recipient to use Form HS-3003.

Q: What information do I need to provide on Form HS-3003?
A: You will need to provide your name, address, and SNAP case number, as well as information about the household misfortune and power outage.

Q: Is there a deadline to submit Form HS-3003?
A: Yes, you should submit Form HS-3003 within 10 calendar days of the household misfortune and power outage.

Q: Who should I contact for more information about Form HS-3003?
A: For more information about Form HS-3003, you can contact your local Department of Human Services office in Tennessee.

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Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Tennessee Department of Human Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form HS-3003 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.

Download Form HS-3003 Affidavit Request for Snap Replacements Due to Household Misfortune and Power Outage - Tennessee

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