By signing and dating this application, I permit the United Way of the Upper Ohio Valley to verify my eligibility for benefit programs such as SNAP, TANF, and/or Medicaid.
Eligibility is based on:
1) Student(s) and family must be residents of Ohio or Marshall County.
2) Applicant must have eligible student(s) in their household.
3) A TANF assistance group composition must exist within the household.
4) Applicant must be in receipt of SNAP benefits and/or Medicaid.
If I am deemed eligible to participate, I agree to abide by the terms and conditions set forth while redeeming the clothing voucher(s).