SNAP (Supplemental Nutrition Assistance Program) and Medicaid

Feeding Tampa Bay is committed to providing assistance to our community and helping our neighbors overcome the challenges faced in applying for services. As part of Feeding Tampa Bay’s Community Outreach Program, we are able to assist with applying for SNAP benefits, also known as food stamps, and provide our community with more access to food, convenience, and client choice. In addition, Feeding Tampa Bay can also assist with applying for Medicaid, medical coverage for low-income individuals and families.

Please answer the following questions so that we may better assist you with new applications, re-certifications or answer any questions that you may have about this program.

Name *

First Name Last Name

Email

example@example.com

Best time to contact *

Morning Afternoon Night

Phone Number *

Area Code Phone Number

Would you like us to text you? *

Yes No

Preferred Language *

English Spanish Other

I do not have health insurance and want to apply for Medicaid. I meet one of the following criteria:

Parent/Caregiver of children Children Pregnant mother Former foster care individuals Non-citizens with medical emergencies Aged and disabled individuals not currently receiving Supplemental Security Income (SSS)

Are you currently enrolled in SNAP Benefits? *

If no, would you like Feeding Tampa Bay to assist you in applying for SNAP Benefits? *

Were you referred by an agency or a partner in the community? *

If you answered yes, please indicate which agency you were referred by?

County *

City *

Zip Code *