Change Report Form for Clients - Form 1978 (English and Spanish)

Illinois Department of Human Services

03/27/18

Information Memo

Summary:

The Supplemental Nutrition Assistance Program (SNAP) CHANGE REPORT FORM is completed by the SNAP customer to report any changes to his or her SNAP case. Form 1978 (English and Spanish) is available in the Forms Library on OneNet.

Form 1978 (English and Spanish) does not replace the From 1979 (English and Spanish) which is used by FCRC staff when a client reports a change to the FCRC regarding his or her SNAP, Cash or Medical cases.


Changes may be reported by the client (PM 18-04-01):

  • in person;
  • by phone or by mail; or
  • on a change report form.

Change Report Form - Form 1978

The Supplemental Nutrition Assistance Program (SNAP) CHANGE REPORT FORM is completed by the SNAP customer to report any changes to his or her SNAP case. Form 1978 (English and Spanish) is available in the Forms Library on OneNet.  Form 1978 (English and Spanish) gives clients the opportunity to report their SNAP changes to the FCRC in writing.  Form 1978 (English and Spanish) does not replace the From 1979 (English and Spanish) which is used by FCRC staff when a client reports a change to the FCRC regarding his or her SNAP, Cash or Medical cases.


[signed copy on file]

James T. Dimas

Secretary, Illinois Department of Human Services

Forms Referenced:

IL444-1978

IL444-1978S

IL444-1979

IL444-1979S