PM 02-06-01-d: Form IL444-2378B

WAG 02-06-01-d

Form IL444-2378B

• The paper application, Request for Cash Assistance - Medical Assistance - Supplemental Nutrition Assistance Program (SNAP) is used to apply for Cash, SNAP and Medical programs when:
  • A new customer requests that an application be mailed to them; or
  • A customer requests the application in-person but is unable to stay to complete it; or
  • The customer is unable to come in for an interview; or
  • The IES Combine Application (CAF) does not print with signature page(s).