North Dakota SNAP Application
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  • SNAP (Supplemental Nutrition Assistance Program) is a federal program that provides resources to low-income households to purchase groceries. Completing this form is the first step to see if you are eligible for benefits. 

    You can learn more about SNAP here: USDA SNAP Information

    If you have difficulty completing this form, please contact Great Plains Food Bank's SNAP Outreach Team at 855.405.0000 or SNAP@greatplainsfoodbank.org

  • How the Process Works

  • 1. Submit your information

    On the following pages, enter your information. The form should take about 15-30 minutes to complete. Because you will be asked to enter personal information, we are using a form that is HIPAA (Health Insurance Portability and Accountability Act) Compliant to protect the privacy and security of your information. 

    2. Submit proof of your living situation 

    You will need to provide verification of various factors such as citizenship, assets, income, expenses, and other items. Acceptable documents may include ID, birth certificates, paystubs, bank statements, and utility bills. You can do this using the "File Upload" section at the end of this form. If you choose not to do this now, you can submit documents at the time of your interview or directly to the state Customer Support Center within 30 after submission. To submit documents to the Customer Support Center, use the following contact information:

    Email: applyforhelp@nd.gov

    Phone: 1.866.614.6005 or 701.328.1000

    Fax: 701.328.1006

    Mail: Customer Support Center

             PO Box 5562

             Bismarck, ND 58506

    3. Processing and determining eligibility 

    Great Plains Food Bank's SNAP Outreach Team will review your application for potential errors within two business days following receipt of this form. If no errors are noticed, your application will be submitted to North Dakota Health and Human Services (ND HHS). If errors are found, you will be contacted via the information you provide to correct them prior to submitting your application. 

    Once the application is submitted, ND HHS will process it and determine eligibility. It can take 30 days to process the application. HHS will contact you to schedule an interview, review your application, and gather any additional information needed. If you miss your interview, you can contact them to schedule a new one. 

    If approved, SNAP benefits are received through the ND Electronic Benefit Transfer (EBT) card, which is a plastic card that is used like a debit card. Each month, your approved monthly benefit amount is placed in the card's account. 

    Great Plains Food Bank (GPFB) is a trusted partner with ND HHS, but we do not determine eligibility. Eligibility is only determined by ND HHS. GPFB receives information regarding approval or denial of benefits, but does not receive any details regarding your case. 

    Please use the above contact information for the Customer Support Center to check the status of your application or report changes to your case. 

    Not all fields are required. However, providing as much information as possible in the application may reduce the wait time for case processing. 

  • Verification Document Information

    A more detailed list of proof that you may need to submit. This is not a complete list.

  • Proof of Alien or Citizenship Status such as: 

    Birth Certificate (if born in the United States)

    American Indian/Alaskan Native Tribal Document

    Passport

    Permanent Resident Card (Form 1-551)

    Employment Authorization Document (Form 1-766)

    Arrival-Departure Record (Form 1-94)

    For SNAP, if any of these persons do not want to give information about their citizenship or immigration status, they will not be eligible for benefits. These persons must provide their financial information to determine eligibility for other household members. Other household members may still get benefits if they are otherwise eligible. We will not share alien or citizenship information about non-applicants with the United States Citizenship and Immigration Service.

    Proof of the value of current assets such as:

    Checking/Saving/Credit Union Accounts

    IRA/401K Plans

    Life Insurance

    Property

    Trusts

    Proof of most current expenses such as:

    Child/Dependent Care

    Court Ordered Payments

    Utility/Shelter Expenses

    House Payment

    Rent

    Phone Bill

    Proof of most current income (last month and this month) such as:

    Pay (pay stubs or employer statement)

    Social Security Benefits

    Supplemental Security Income

    Unemployment Benefits

    Child Support

    Money from Friends or Relatives

    Pension/Retirement Benefits

    Self-Employment Income (most recent copy of Federal Income Tax Return)

    Proof of other information such as:

    Identity (Birth Certificate, Driver's License, Work/School ID, Passport)

    Age (Birth Certificate, Driver's License)

    Residency (Rent Receipts, Utility Bills, Lease)

    Social Security Numbers (card or proof of application for SSN)

  • Your Information

    (you are Person 1)
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  • Format: (000) 000-0000.

  • This application can only be used by North Dakota residents.

    If you are unhoused but have a ND mailing address, please enter it here. 

    If you live in Minnesota, please visit: MN SNAP Application

  • Do you have a different mailing address?*
  • Are you homeless?
  • Do you have a physical or mental condition that requires special accommodation(s) during your interview?
  • Do you speak English?
  • Do you need an interpreter?
  • Do you want SNAP benefits for yourself?*

  • Household Members

    You are Person 1 and have already entered your information
  • How many people live in your home?*
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  • Does Person 2 want to receive SNAP benefits?*
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  • Does Person 3 want to receive SNAP benefits?*
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  • Does Person 4 want to receive SNAP benefits?*
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  • Does Person 5 want to receive SNAP benefits?*
  • Do these household members want to receive SNAP benefits?*
  • Does anyone in the home have a disability?
  • Was anyone in your home in foster care when they turned 18?
  • Is anyone in your home a veteran or active duty member of the U.S. Armed Forces?
  • Is anyone in your home living in a domestic violence shelter, fleeing from domestic violence, or needing to neep their identity or location private?
  • Is anyone in your home a migrant or seasonal farm worker?
  • Do you have less than $100 in liquid resources?*
  • Is anyone in the home age 14 or older a student or planning to attend school?
  • Do you have a North Dakota EBT Card for SNAP already?
  • Does anyone in the household purchase and prepare meals separately?

  • Illegal Activity and Disqualification Questions

  • Have you or any member of your household been convicted of fraudulently receiving duplicate SNAP or TANF benefits in any state after September 22, 1996?
  • Are you or any member of your household hiding or running from the law to avoid prosecution, being taken into custody, or going to jail for a felony crime or attempted felony crime?
  • Has anyone in the household been convicted of Federal aggravated sexual abuse, murder, sexual exploitation and abuse of children, or sexual assault? An offense under State law determined by the Attorney General to be substantially similar to the previously describe offenses shall also be ineligible for SNAP benefits. A conviction for one of the list offenses only makes an individual ineligible if the conviction is for conduct on or after February 7, 2014.
  • Are you or any member of your household violating a condition of parole or probation?
  • Have your or any member of your household been convicted of buying or selling SNAP benefits over $500 after September 22, 1996?
  • Have you or any member of your household been convicted of trading SNAP benefits for guns, ammunitions, or explosives after September 22, 1996?
  • Have you or any member of your household been convicted of trading SNAP benefits for drugs after September 22, 1996?
  • Are you or is any household member disqualified or have you or any household member ever been disqualified from SNAP or TANF for providing incorrect information or failing to provide information that affected SNAP or TANF eligibility or benefits?

  • Household Assets

  • Does anyone in your household own a vehicle?
  • Do you need to list another vehicle?
  • Do you need to list another vehicle?
  • Do you need to list another vehicle?
  • Do you need to list another vehicle?
  • Do you need to list another vehicle?
  • Does anyone have a checking account?
  • Is there another checking account?
  • Does anyone have a savings account?
  • Is there another savings account?
  • Does anyone have a debit card account like Venmo or PayPal?
  • Is there another debit card account like Venmo or PayPal?
  • Does anyone have cash on hand?
  • Does anyone else have cash on hand?
  • Does anyone have Retirement Funds like an IRA or 401K?
  • Does anyone else have Retirement Funds like an IRA or 401K?
  • Does anyone own a home that they live in?
  • Does anyone have less common assets? (Ex: Mineral Rights, Business Accounts, Rental Property, Money Market Accounts)?
  • Please check which assets you have*

  • Household Earned Income

    Include income for all household members, even if they do not want SNAP benefits
  • Is anyone in the home self-employed?
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  • Does anyone in the home work?
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  • Do you need to add another job for yourself or a different household member?
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  • Do you need to add another job for yourself or a different household member?
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  • Do you need to add another job for yourself or a different household member?
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  • Do you need to add another job for yourself or a different household member?
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  • Has anyone had a job end in the last 30 days?
  • Did they receive a final paycheck this month?*

  • Household Unearned Income

    Include income for all household members, even if they do not want SNAP benefits
  • Does anyone receive unearned income like child support, social security benefits, supplemental security income, or money from friends/family?
  • Does anyone receive Child Support payments?*
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  • Does anyone receive Social Security Benefits?*
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  • Does anyone receive Social Security Income (SSI)?*
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  • Does anyone receive money from relatives or friends?*
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  • Does anyone have less common types of unearned income (Rental Income, Income from Tribes, Interest Income, Inheritance, TANF, Unemployment, etc.?)
  • If yes, please check which types of unearned income are received.*

  • Household Expenses

  • Does anyone pay for housing (rent, lot rent, mortgage, etc.)?
  • Does anyone pay rent?*
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  • Does anyone pay a mortgage?*
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  • Do you pay for homeowners insurance separately?*
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  • Do you pay for property taxes separately?*
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  • Does anyone pay lot rent?*
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  • Does anyone pay condo fees?*
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  • Does anyone pay for utilities (electric, phone, water, etc.)?
  • Does anyone pay for electricity?*
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  • Does anyone pay for heating (gas, propane, electric, etc.)?*
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  • Does anyone pay for phone service?*
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  • Does anyone pay for water/sewer/garbage?*
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  • Does anyone pay for cooling (air conditioning, central air)?*
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  • Does anyone have court ordered expenses (child support, spousal support)?
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  • Does anyone pay for child/dependent care?
  • If yes, which type?*
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  • Authorized Representative

  • You can give a trusted person permission to talk about this application with ND HHS and see your information.

    This individual can act on your behalf on matters related to this application, including giving and getting information, signing your application, and acting for you on all future matters. This person is called an "authorized representative".

    This person can also give information at your interview and can also receive the Electronic Benefit Transfer (EBT) card for you. This gives the representative access to your food benefits. Any benefits spent by the representative will not be replaced.

    You also have the choice to name a different authorized representative who will not receive notifications about your SNAP case, including the application, but can access your food benefits for you by using your EBT card.

  • Would you like to choose an authorized representative?
  • Format: (000) 000-0000.
  •  - -
  • Would you like to choose someone to only help you use your EBT card and not receive notifications?
  • Format: (000) 000-0000.
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  • Text/Email Notifications from ND HHS

  • By opting to receive text message or e-mail notifications, you agree to the following:

    A text message or e-mail notification will be sent to the cell phone number or e-mail address you entered when a review or full application is needed to determine eligibility or continued eligibility for the program(s) you are enrolled in.

    Cell phone carrier text message rates may apply and ND HHS will not be liable for any text message charges. 

    You are responsible for notifying your case worker of any changes to your e-mail address, cell phone carrier or cell phone number, or if your cell phone is lost or stolen. 

    It is the policy of HHS not to transmit confidential information by text or e-mail as unencrypted e-mail and text messaging is NOT a secure form of communication. There is some risk that any Protected Health Information (PHI) and other confidential information that may be contained in such e-mail or text messages may be misdirected, disclosed to, or intercepted by, unauthorized third parties. I consent and accept the risk in transmitting PHI and other confidential information via unencrypted e-mail or text messaging.

    Opting to receive text message or e-mail notifications requires an additional signature and will not be sent without your signature.

  • Would you like to receive text message notifications?
  • Format: (000) 000-0000.
  • Would you like to receive email notifications?
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  • Signature Page

    Please read the following information before signing and submitting this form

  • SNAP Work Registration

    I understand and agree that to receive SNAP, certain members of the household need to register for work. This means that certain members of the household must:

    A) Register for work at time of application and recertification

    B) Not quit a job of 30 or more hours/week without good cause

    C) Not reduce work hours under 30 hours per week without good cause

    D) Not refuse a bona fide offer of suitable employment without good cause

    Anyone who does not follow the work requirements may be disqualified from receiving SNAP. This form also acts as a work registration notice. You, along with other nonexempt household members, will be considered work registered and must comply with the requirements associated with work registration once this form is signed.

  • Understanding and Agreement

    I have received, reviewed, and understand my rights and responsibilities as explained in the Guidebook (found here: Application for Assistance Guidebook).

    I declare under penalty of law, the information on this application is correct. This includes information about identity, citizenship, and alien status of the household members applying for assistance. 

    I understand that alien status information and other information will be verified when discrepancies are found. The alien status of application household members may be subject to verification by USCIS through the submission of information from the application to USCIS. Verification received may affect eligibility and level of benefits. 

    I understand the information I provide on or with this application is subject to verification by federal, state, and local officials to determine if the information is correct. If any of the information is incorrect, assistance may be denied and I may be subject to criminal prosecution for knowingly providing incorrect information. There are penalties for giving false information or breaking the rules. Information about this is provided in the Guidebook.

    I agree to report to the Customer Support Center any changes in income, assets, or living arrangements as required. 

    I understand I will not receive a deduction for any allowable expenses I do not report and provide proof of. 

    I understand that if I have a disability, I may request information about my benefits in a different format.

    I understand that I have the right to request a Fair Hearing if I disagree with the agency actions regarding my benefits. Information on this is provided in the Guidebook.

    North Dakota Department of Health and Human Services cannot discriminate based on race, color, national origin, sex, age, disability, religious or political beliefs, or other protected identities. Information on how to file a complaint of discrimination is provided in the Guidebook.

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