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This is an application for cash, health care and the Supplemental Nutrition Assistance Program (SNAP) benefits. If you need this application in another language or someone to interpret, please contact your local county assistance office.
Download, fill out, and print a paper application then send it to your local County Assistance Office. Download a form (PDF)
Pennsylvania Application for Benefits. This is an application for cash, Medical Assistance and SNAP benefits. If you need this application in another language or someone to interpret, please contact your local county assistance ofice. Language assistance will be provided free of charge.
You can also apply online at: www.compass.state.pa.us. • Please read the entire form. • Print the requested information in the unshaded sections. • If you need help, another person can help you or you can get help from your county assistance office. • Please review any information printed on this form. If any
Apply faster online: Apply faster online at www.compass.state.pa.us. If you would like to apply by telephone, call our Consumer Service Center for Health Care Coverage at 1-866-550-4355.
Download the appropriate paper application from the list below and mail it to your local county assistance office. Pennsylvania Application for Benefits (Cash Assistance, Health Care, SNAP) English
Click on one of the following links to download an application. Application for cash assistance, SNAP and Medical Assistance benefits. (PDF download) Solicitud para recibir beneficios (Solicitud para recibir beneficios; PDF transferencia directa) How to Contact the Bucks County Assistance Office.
