Apply for Benefits

Start your application for SNAP, TANF, Medicaid, and CHIP benefits. You can apply for multiple programs with one application.

Choose How to Apply

Apply Online

Complete your application online 24/7. Save your progress and return anytime. Fastest way to apply.

Start Online Application

Apply by Phone

Call our customer service line to apply over the phone with assistance from our trained staff.

(800) 555-0123

Before You Start

You'll Need These Documents:

Photo ID for all adults
Social Security cards for all household members
Proof of income (pay stubs, unemployment, etc.)
Bank statements
Rent receipt or mortgage statement
Utility bills
Birth certificates for children

See Complete Document List

Application Tips:

The application takes about 30-45 minutes
You can save and return to finish later
Apply even if you don't have all documents
You can upload documents after submitting
Help is available if you need it

Get Application Help

Online Application

Getting Started

Household Info

Income & Assets

Review & Submit

Step 1: Getting Started

Which programs are you applying for? (Check all that apply)

SNAP (Food Benefits)
Help buying nutritious food

TANF (Cash Assistance)
Temporary cash assistance for families with children

Medicaid (Healthcare)
Free or low-cost healthcare coverage

CHIP (Children's Health Insurance)
Low-cost health coverage for children

Your Information

First Name *

Last Name *

Date of Birth *

Social Security Number *

Contact Information

Street Address *

City *

State *

ZIP Code *

Phone Number *

Email Address

Household Information

How many people live in your household? *

Emergency Contact (Optional)

Emergency Contact Name

Emergency Contact Phone

I understand that by submitting this application, I am giving permission for AnyState DHHS to verify the information I provide. I understand that providing false information may result in criminal prosecution. *

I have read and agree to the Privacy Policy and Terms of Service. *

Need Help with Your Application?

Our trained staff can help you complete your application over the phone or in person at no cost.

Call (800) 555-0123 Find Local Office Online Help