• Chickasaw Nation Residents - This service is available inside the Chickasaw Nation's boundaries.

• Citizenship in a federally recognized tribe
• Must reside within the Chickasaw Nation
• Must meet USDA income guidelines
• Cannot receive SNAP or have a SNAP application pending

• CDIB or citizenship card from a federally recognized tribe
• Social Security number and birth dates for all household members
• Proof of address, postmarked within the last 30 days (utility bill preferred)
• Pay stubs for most recent 30 days (for each working household member over the age of 18) or tax return for self-employed
• Statement of non-employment/no income for any non-working household member over the age of 18
• Proof of paid or received child support (court order, printout from DHS, canceled check, deduction from check)
• Proof of out-of-pocket payments for child or adult daycare
• Proof of other income (SSI award letter, Disability, Unemployment, Pensions, Retirement, VA benefits, etc)

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (833) 620-1071, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to:

1. mail:
   Food and Nutrition Service, USDA
   1320 Braddock Place, Room 334
   Alexandria, VA 22314; or
2. fax:
   (833) 256-1665 or (202) 690-7442; or
3. email:
   FNSCIVILRIGHTSCOMPLAINTS@usda.gov

This institution is an equal opportunity provider.