Combined Application for Benefits
You can apply or be recertified for one or more of the following assistance programs:
- Financial Assistance/TANF
- Supplemental Nutrition Assistance Program/SNAP (formerly known as Food Stamps)
- Medical Assistance
To complete the application, you may either:
- Print, download or save the application form, complete the application by filling it out. Get the application at http://dhs.dc.gov/publication/combined-application-benefits
All application forms must be signed and dated and submitted to ESA (formerly known as IMA) in order to begin processing.
After you complete, sign and date your application, mail or take your application to an ESA (formerly IMA) service center.
You will still need to be interviewed for all programs except Medicaid. We recommend taking these documents along with you to that interview. If you are in need of an accommodation, you may request a waiver form.