Request to Participate as a Restaurant in the SNAP Restaurant Meals Program

Only restaurants located in DeWitt County, Franklin County or Cook County in the following zip codes: 60617, 60619, 60620, and 60628 are eligible to apply at this time.

If selected, you will be contacted via email by April 14, 2022.

Restaurant Information

Restaurant Name:

Address Line 1:

Address Line 2:

City, State, ZIP:

County: Cook DeWitt Franklin

FEIN:

Contact Name:

Contact Email:

Contact Phone:

SNAP Restaurant Meals Program Participant Criteria

Participating restaurants must be able to provide a copy of government issued photo ID and verification of Social Security Number (SSN) for the following:

• all owners/partners
• all officer(s) of private corporations.
• spouses of owners/officers if store is in a community property State

Are you able to provide ID and verification of SSN for all the above? Yes No

Are you able to provide a copy of a valid business license? Yes No

Is your restaurant fully accessible to people with disabilities? Yes No

Does 50% or more of your revenue come from the sale of food? Yes No

Does your restaurant establishment offer a dine-in option? Yes No

"Concessional pricing" is offering a discounted price for SNAP customers. Examples include:

• Restaurant offers "meal of the week" at a 20% discount for SNAP customers.
• Restaurant offers 10% discount on any menu item when SNAP customer.
• Restaurant offers a "buy 4 meals, get one free" discount to SNAP customers.

Will you offer meal(s) at "concessional pricing" for SNAP customers? Yes No