Special Food Instrument Issuance Accommodations


  1. 1. Alternative Food Instrument Issuance
  2. 2. Mailing Policy/Procedures
  3. 3. Participants who receive food instruments by mail are sent:

1. Alternative Food Instrument Issuance

  1. The State agency has implemented the following food instrument issuance policy (check all that apply):
    • All participants are required to pick up food instruments at the clinic or local agency, except in unusual circumstances  - Checked
    • Participants/proxies are required to show identification at food instrument pick up  - Checked
    • Food instruments are routinely mailed to participants except (1) when the participant is scheduled for nutrition education or a certification appointment and (2) in areas where Food Stamps are not mailed, as these areas are known to have experienced high mail issuance losses
    • Benefits are provided electronically to a location such as a grocery store under certain conditions; thus participants may not always pick up food instruments at the clinic
    • Other (specify):

2. Mailing Policy/Procedures

  1. When food instruments are mailed to participants, State agency provides local agencies with guidelines/procedures for mailing food instruments to individual participants:
    • Yes  - Checked
    • No
  2. Policy requires participants to pick up food instruments whenever certification appointment is due or nutrition education is scheduled:
    • Yes  - Checked
    • No
  3. The State agency has implemented the following policy regarding mailing food instruments (check all that apply):
    • Food instruments are sent first class mail *(first class is considered regular mail)
    • Food instruments are sent registered mail
    • Food instruments are sent certified mail  - Checked
    • Food instruments are sent restricted mail
    • Return receipt is requested on food instruments sent certified mail  - Checked
    • Envelope specifies, "Do not forward, return to sender" or "Do not forward, address correction requested"
    • Other (specify):
  4. The State agency approves mailing food instruments under the following conditions (check all that apply):
    • State
      Wide
      LA with
      SA Approval
      Case by
      Case
      Participant hardship X
      Travel-related issues X
      Better clinic management X
      Participant safety X
      Participant convenience X
      Cost effectiveness X
      Other (if other, specify):
  5. When mailing food instruments, documentation of food instrument issuance is:
    • Signed by the participant at the following food instrument pick-up/visit  - Checked
    • Noted "mailed" and initialed/dated by local agency staff
    • Signed and dated by local agency staff after return receipt is received  - Checked
    • Other (specify):

ADDITIONAL DETAIL: Food Delivery Appendix and/or Procedure Manual (citation):

3. Participants who receive food instruments by mail are sent:

  • One month of food instruments
  • Two months of food instruments
  • Three months of food instruments - Checked
  • Other (specify):

ADDITIONAL DETAIL: Food Delivery Appendix and/or Procedure Manual (citation):