DTA forms

Access to DTA Client Record (Release Form) - English and Spanish Versions
01/01/2010 DTA

The document is available in PDF format below. Read More

Food Stamps (SNAP) - Informational Brochure 2009 (English and Spanish)
10/13/2009 DTA

A DTA brochure providing basic information about how to apply for Food Stamps/ SNAP benefits.  The brochure includes the income standards. Brochure numbers:  SNAP-BB 09-075-1009-05  (English); Read More

SNAP/ Food Stamps Application Forms
10/01/2009 DTA

DTA has copies of its SNAP/ Food Stamps application on the DTA website in serveral languages: English Spanish Portuguese There is also a "simplified" SNAP/ Food Stamps appl Read More

How to Use Your BayState Access Card to Make Food Purchases
06/01/2005 DTA

A DTA pamphlet explaining how participants in BayState Cap can use their EBT cards to access food stamps benefits.  Originally attached to Field Ops Memo 2005-27. Read More

EA transfer from DTA to DHCD-- posters that explain the move (Spanish and English)
07/01/2009 DHCD

Attached are posters for DTA offices about the transfer. Read More

EA approval/denial/ termination notice with Appeal Form (DHCD)
07/01/2009 DHCD

WARNING -- as of 12/17/09 we have had reports that the fax number listed on the DHCD appeal form (1515) is out of order.  617-573-1285 might work, but it is advisable to call docket clerk Elbert Baq Read More

Noncitizen Resources Brochure in Spanish: NCRB-S
05/01/2009 DTA

Read More

Food Stamp/SNAP increase from recovery act: Spanish DTA flyer
03/28/2009 DTA

DTA Flier Announcing Increase in SNAP/Food Stamp Benefits for April 1st in Spanish. Read More

Verification Checklist -- English and Spanish (VC-1, VC-1S)
02/01/2009 DTA

See attached. Read More

Food Stamp/ SNAP Statement of Loss/ Request for Replacement Food (English and Spanish) (SNAP-9B, SNAP-9BS)
12/01/2008 DTA

See attached. Read More