DHS-8130-ENG 7-21 (1.0.3)

SNAP & Cash Treasury Offset Program (TOP) Help Form

Do you need an interpreter?

Yes

LANGUAGE:

FIRST NAME

LAST NAME

Last 4 digits of SSN:

PHONE NUMBER

EMAIL ADDRESS

How would you like to be contacted?

Phone

Calls are returned within 3 to 5 business days.

Email responses are sent within 3 to 5 business days.

Best time to reach you:

8-11 am CST

11am-2pm CST

2-4pm CST

CLAIM NUMBER

MAXIS CASE NUMBER

Please select the issue:

Description of question and/or issue:

Attach supporting documentation