Food & Nutrition Services

• Program Description: provides monetary assistance to households with limited income for the purchase of food.
• Application Form # DSS-8207 
  • English
  • Spanish 

Simplified Nutritional Assistance Program (SNAP)

• Program Description: identifies and provides Food and Nutrition Services benefits to North Carolina residents who meet certain requirements such as to those age 65 or older who receive Supplemental Security Income.
• Application Form # DSS-6240
  • English
  • Spanish

Medicaid

• Program Description: Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities. Medicaid is a little different, depending on who you are and your situation.
• Application Form numbers

  • Program: Medicaid for the aged, blind, & disabled
    Application: English

  • Program: Medicaid for infants, children, and families (includes Health Choice)
    Application: English | Spanish

  • Program: Be Smart Family Programming
    Application: English | Spanish  

Work First

• Program Description: North Carolina's Temporary Assistance for Needy Families (TANF) program, called Work First, parents can get short-term training and other services to help them become employed and self-sufficient.  Most families have two years to move off Work First Family Assistance. All adults who are included in the assistance payment must have a Mutual Responsibility Plan of Action agreement that requires the individuals to work or participate in work-related activities.  These adults must complete all of the requirements on their agreement each month before receiving Work First cash assistance
• Application: you must apply in person. Completing the work book before you come into apply might be helpful, but is not required.
  • WorkFirst Workbook

General Notes About Applications:

• If you are unable to print the application, fill out the online request form to request an application by mail.
• Medicaid Applications cannot be accepted via fax or the internet (i.e. emailed) 

• WorkFirst applications are only available in person

• Household Composition Form (English)
  Forma de composición del hogar
   
• Use of Social Security Numbers (English)
  Aviso del úso de los númerous de seguro social
   
• Medicaid Family Planning Waiver Application Addendum (English)
  Renuncia de la planificación familiar de Medicaid (FPW)  
   
• Employment Transportation

Online Pre-Assessment Screening

ePASS (Electronic Pre-Assessment Screening Service) is a quick and easy way for you to get information about benefits and services that may help you, such as:

• Food and Nutrition Services (formerly Food Stamps)
• Emergency Assistance
• Medicaid & North Carolina Health Choice (NCHC)
• Work First Cash Assistance
• Crisis Intervention Program (CIP)
• Simplified Nutritional Assistance Program (SNAP) 

Visit the secure ePASS site now to check your potential eligibility.