Food

Food Assistance program also known as Supplemental Nutrition Assistance Program (SNAP) offers nutrition assistance to eligible, low-income individuals and families. Jefferson County works with State agencies, nutrition educators, and neighborhood and faith-based organizations to ensure that those eligible for nutrition assistance can make informed decisions about applying for the program and can access benefits.

  1. How to Apply
  2. What Happens Next
  3. Food Banks/Programs
  4. Authorized Representative

How to Apply

Provide the following:

1. A completed Application for Assistance

  • Apply on-line using PEAK (Program Eligibility and Application Kit)
    • Download an Application for Assistance
    • Call 303.271.1388 to request an application be mailed to you
    • Pick up an application at:
      Jefferson County Human Services
      900 Jefferson County Parkway
      Room 110
      Golden, Colorado 80401

2. The following is a list of other items you may need to provide:

  • Social Security number for all household members, and
  • Proof of monthly income, and
  • Identification for the Head of Household, and
  • Proof of basic expenses, such as
    • Child care costs, if applicable, and
    • Child support being paid, if applicable
    • If over 60 years of age, or disabled as defined by the Social Security Administration, you may also need to provide proof of medical expenses over $35.00, if applicable.

If you do not have all the other items listed above, sign and submit your application anyway. We will follow-up with you.

  1. USDA Nondiscrimination

This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex, and in some cases religion or political beliefs.

The US Department of Agriculture (USDA) also prohibits discrimination based on race, color, 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.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.) should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing, or have speech disabilities may contact the USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complain Form (AD-3027), found online at: https://www.ascr.usda.gov/node/119, 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. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) mail:

US Department of Agriculture Office of the Assistance Secretary for Civil Rights

1400 Independence Avenue SW, Washington, D.C. 20250-9410

(2) fax: (202) 690-7442; or

(3) email: [email protected]

For any other information dealing with Supplemental Nutrition Assistance Program (SNAP), persons should either contact the USDA SNAP Hotline Number as (800) 221-5689, which is also in Spanish, or call the State Information/Hotline Numbers found online at:

http://www.fns.usda.gov/snap/contact_info/hotlines.htm

To file a complaint of discrimination regarding a program receiving federal financial assistance through the US Department of Health and Human Services (HHS), write:

HHS Director, Office for Civil Rights

Room 515-F

200 Independence Avenue SW

Washington, D.C. 20201

Or call (202) 619-0403 (voice) or (800) 537-7697 (TTY).

This institution is an equal opportunity provider.