Benefits Assistance Referrals

If your agency encounters a person in need of application assistance for state benefits: SNAP (formerly food stamps), TANF, Medicaid/CHIP, Medicare Savings program, etc., refer them to our Benefits Assistance Coordinator (with their permission, of course)! This is just another way for your agency to better serve the community.

You can refer a client here through the submission box below with the following collected information:

1. Name(s) of the client(s).
2. Client’s contact information (phone number or email address).
3. What programs the client is interested in (if known).

* If you are referring more than one client then please click on the add more clients tab.

Once the referral is made the Benefits Assistance Coordinator will then contact the client you have referred within 3-5 days.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.