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FoodShare Forms

Below is a list of all FoodShare forms. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number Title Division Language Release Date File Type Available to Order
F-00330G Request for Replacement FoodShare and/or Summer EBT Benefits, German DMS German 10/2024 PDF No
F-00330H Request for Replacement FoodShare and/or Summer EBT Benefits, Hmong DMS Hmong 10/2024 PDF No
F-00330L Request for Replacement FoodShare and/or Summer EBT Benefits, Laotian DMS Laotian 10/2024 PDF No
F-00330R Request for Replacement FoodShare and/or Summer EBT Benefits, Russian DMS Russian 10/2024 PDF No
F-00330SO Request for Replacement FoodShare and/or Summer EBT Benefits, Somali DMS Somali 10/2024 PDF No
F-00330S Request for Replacement FoodShare and/or Summer EBT Benefits, Spanish DMS Spanish 10/2024 PDF No
F-03266 Request to Lower Your FoodShare Overpayment DMS English 02/2024 PDF No
F-03266H Request to Lower Your FoodShare Overpayment, Hmong DMS Hmong 02/2024 PDF No
F-03266S Request to Lower Your FoodShare Overpayment, Spanish DMS Spanish 02/2024 PDF No
F-19002 Request to Reduce QUEST Card Balance DMS English 08/2023 PDF No
F-02828 School P-EBT Verification Letter Template DMS English 06/2021 Word No
F-00107 Self-Employment Income Report DMS English 06/2019 PDF No
F-00107CM Self-Employment Income Report, Chinese (Simplified) DMS Chinese (Simplified) 06/2019 PDF No
F-00107H Self-Employment Income Report, Hmong DMS Hmong 06/2019 PDF No
F-00107S Self-Employment Income Report, Spanish DMS Spanish 06/2019 PDF No
F-00219 Self-Employment Income Report: Farm Business DMS English 06/2019 PDF No
F-00219A Self-Employment Income Report: Farm Business Instructions DMS English 06/2019 PDF No
F-00219ACM Self-Employment Income Report: Farm Business Instructions, Chinese (Simplified) DMS Chinese (Simplified) 06/2019 PDF No
F-00219AH Self-Employment Income Report: Farm Business Instructions, Hmong DMS Hmong 06/2019 PDF No
F-00219AS Self-Employment Income Report: Farm Business Instructions, Spanish DMS Spanish 06/2019 PDF No
F-00219CM Self-Employment Income Report: Farm Business, Chinese (Simplified) DMS Chinese (Simplified) 06/2019 PDF No
F-00219H Self-Employment Income Report: Farm Business, Hmong DMS Hmong 06/2019 PDF No
F-00219S Self-Employment Income Report: Farm Business, Spanish DMS Spanish 06/2019 PDF No
F-16036 Self-Employment Income Worksheet: Partnership (Schedule K-1 [Form 1065] and Form 1065) DMS English 03/2024 PDF No
F-01985 Self-Employment Income Worksheet: Personal Capital Gains or Losses (Schedule D) DMS English 02/2017 Word No
F-16035 Self-Employment Income Worksheet: S Corporation (Schedule K-1 [Form 1120S] and Form 1120S) DMS English 04/2024 PDF No
F-16022 Social Security Number Referral DMS English 07/2008 PDF No
F-16022H Social Security Number Referral, Hmong DMS Hmong 07/2008 PDF No
F-16022S Social Security Number Referral, Spanish DMS Spanish 07/2008 PDF No
F-16023 Striker Evaluation DMS English 07/2008 PDF No
F-00098 Summary of Information Letter DMS English 06/2019 PDF No
F-02260 Temporary QUEST Card Issuance Worker Checklist DMS English 12/2023 PDF No
F-02260A Temporary Quest Card Request DMS English 10/2023 PDF No
F-02260ABU Temporary Quest Card Request, Burmese DMS Burmese 10/2023 PDF No
F-02260ACM Temporary Quest Card Request, Chinese (Simplified) DMS Chinese (Simplified) 10/2023 PDF No
F-02260AG Temporary Quest Card Request, German DMS German 10/2023 PDF No
F-02260AH Temporary Quest Card Request, Hmong DMS Hmong 10/2023 PDF No
F-02260AR Temporary Quest Card Request, Russian DMS Russian 10/2023 PDF No
F-02260ASO Temporary Quest Card Request, Somali DMS Somali 10/2023 PDF No
F-02260AS Temporary Quest Card Request, Spanish DMS Spanish 10/2023 PDF No
F-02520 Voluntarily Declining Benefits DMS English 01/2023 PDF No
F-16039 Waiver of Administrative Disqualification Hearing DMS English 07/2023 PDF No
F-16039AR Waiver of Administrative Disqualification Hearing, Arabic DMS Arabic 07/2023 PDF No
F-16039CM Waiver of Administrative Disqualification Hearing, Chinese (Simplified) DMS Chinese (Simplified) 07/2023 PDF No
F-16039G Waiver of Administrative Disqualification Hearing, German DMS German 05/2018 PDF No
F-16039H Waiver of Administrative Disqualification Hearing, Hmong DMS Hmong 07/2023 PDF No
F-16039KU Waiver of Administrative Disqualification Hearing, Kurdish DMS Kurdish 05/2018 PDF No
F-16039L Waiver of Administrative Disqualification Hearing, Laotian DMS Laotian 05/2018 PDF No
F-16039R Waiver of Administrative Disqualification Hearing, Russian DMS Russian 07/2023 PDF No
F-16039SO Waiver of Administrative Disqualification Hearing, Somali DMS Somali 07/2023 PDF No

Glossary

 
Last revised January 24, 2023