Skip to Content Skip to Chat
Report an accessibility issue.
With a heat wave approaching, Connecticut's Extreme Hot Weather Protocol will be activated from Thursday, June 11, until Sunday, June 14. Cooling centers are opening statewide. To find the nearest location, visit www.211ct.org or call 2-1-1. [READ THE UPDATE]

DSS wants EBT cardholders to keep their benefits safe by using the new safety features in MyDSS! These tools can help protect your EBT benefits. For more details, see Protect Your EBT Card Benefits.

Connecticut’s Official State Website Logo State of Connecticut
×
 
Close Search
  • Arabic
  • Chinese (Simplified)
  • Chinese (Traditional)
  • English
  • French
  • German
  • Haitian Creole
  • Hindi
  • Italian
  • Korean
  • Pashto
  • Polish
  • Portuguese (Brazil)
  • Russian
  • Spanish
  • Filipino
  • Ukrainian
  • Vietnamese
Connecticut Social Services
CT logo
Connecticut Social Services
Making a difference
  • Facebook
  • X
  • YouTube
Connecticut Social Services
☰ Connecticut Social Services Main Menu
× Close
⮐ Back
⮐ Back
  • Home
  • Find Benefits
    • Cash help
    • Child Support
    • Food Assistance
    • Healthcare
    • Heat & Utility
    • Long-term Services
    • Social Work
  • How to Apply
  • All Programs
    • CT AHEAD program
  • Press Releases
  • About Us
  • FAQ

You are about to Logout

Are you sure you want to log out of your account? If you do want to logout, please click "Logout".
Logout
NOTICE:

The Department of Social Services is working with Community Action Agencies to distribute the one-time $300 grocery card to those who have lost their SNAP benefits due to recent changes in the rules of eligibility. Details of what you will need to do to access this benefit are being determined.  When this benefit is available we will let the public know how they can request it. If you need immediate food assistance, visit www.211ct.org or www.ctfoodshare.org.

Security Notice: DSS and Gainwell Technologies are providing notice of a data security incident affecting the Connecticut HUSKY Medicaid provider portal — [read the full press release] for details, or call 1-855-744-4488 if you have questions.

DSS benefits have changed due to the federal budget reconciliation bill (H.R.1). Find out how it will impact you on our website, which answers questions about work requirements and exemptions for SNAP and HUSKY (Medicaid).

  • CT.gov Home
  • dss
  • Health and Human Services
  • Health and Wellness
  • Nutrition
  • Supplemental Nutrition Assistance Program - SNAP
  • Current: Documents/Forms
  • Overview
  • Eligibility
  • Apply
  • Keeping Your SNAP Benefits Active
  • Other Food Programs
  • Documents/Forms
  • Related Resources
  • Laws/Regulations

Documents/Forms

CT SNAP Claims Management Plan

EBT Brochure

Help for People in Need Brochure - English

Help for People in Need Brochure - Spanish

Pub 96-3 - English

Pub 96-3S - Spanish

W-1E Application for Benefits - English

W-1ES Solicitud de Beneficios - Spanish

W-1051 Summer EBT Denial - English

W-1051S Summer EBT Denial - Spanish

W-1052 Summer EBT Missing Information - English

W-1052S Summer EBT Missing Information - Spanish

W-1216 SNAP Computation Sheet

W-1460 Request for Exemption from the SNAP Time Limit - English

W-1460S Request for Exemption from the SNAP Time Limit - Spanish

W-1704 - Commodity Supplemental Food Program (CSFP) Application Form

W-1704S - Programa Suplementario de Productos Básicos (CSFP) Formulario de Solicitud

W-1708 - Commodity Supplemental Food Program (CSFP) Recertification Form (due every 36 months)

W-1708S - Programa Suplementario de Productos Básicos (CSFP) Formulario de Recertificación (vence cada 36 meses)

Chat With Us
Chat Support
Connecticut Social Services
Facebook external link X external link YouTube external link

55 Farmington Ave.
Hartford, CT 06105

ct.gov logo with flag embelishment
  • About CT
  • Policies
  • Accessibility
  • Directories
  • Social Media
  • For State Employees
US Flag Status icon
United States
Mast: (Full)
CT Flag Status icon
Connecticut
Mast: (Full)

© 2026 CT.gov - Connecticut's Official State Website