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BenefitsOfficial formconditional

Kentucky Application for SNAP

Official owner Kentucky Cabinet for Health and Family Services

Paper SNAP application and interview instructions, including help when verification documents are missing.

What problem this helps solve

Paper SNAP application and interview instructions, including help when verification documents are missing.

Who completes it: Applicant or program-recognized authorized representative; head of household or representative completes an interview.

What this does not prove

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Dated source check

Official destination opened — currentness caution

Maintained SNAP page currently links FS-1 R 10/18. Eleven-page PDF includes a two-page instructions preface. Printed edition is2018; current program rules and agency instructions still control.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

Open official source page

Direct document

Before downloading, confirm the agency, form number, and revision date match the summary below.

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Use the official pathway

NOLO's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose
SNAP initial filing followed by interview
Who completes it
Applicant or program-recognized authorized representative; head of household or representative completes an interview.
Jurisdiction
Kentucky
Application mode
Paper mail/fax; In person; Online alternative; Phone alternative

2. Prepare before starting

  • A signed name/address filing starts the paper process; provide remaining information as soon as possible.

Documents named by the source

  • Household, Kentucky residency, income and expense proof; examples include paystubs, award letters, rent/utility and childcare receipts.
  • If evidence is missing, still complete the interview and ask DCBS to help.
Fees and fee waivers
UNKNOWN — no application fee stated in checked instructions.
Account
No account stated for paper; kynect online route uses state sign-in.
Appointment
Interview required; DCBS arranges it.
Signature
Signed name/address can start filing when the whole packet cannot be completed; follow application certification and X-witness fields.
Third-party certification or assessment
Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions
  • DCBS local office
  • Fax —502-573-2007
  • Mail —DCBS PO Box2104, Frankfort KY40602
  • kynect/phone application alternatives

4. Get help or an accommodation

  • DCBS application help — 855-306-8959

    Program intake, document questions and arrangements when unable to visit; agency must confirm representative authority.

  • Find a kynector

    Use the maintained agency guide to locate certified benefit application assistance; local availability UNKNOWN.

Languages: English PDF read; SNAP page links Arabic, Bosnian, Chinese, French, Russian, Spanish, Somali and Vietnamese versions.

Accessibility: Agency publishes free language and disability aids; ask DCBS for interpreter/alternate communication. PDF conformance not tested.

5. Know the supported next step

  • Attend interview even without every document.
  • Provide requested proof and follow the eligibility notice.

Restrictions and unresolved details

  • Current official link retains an older edition.
  • Do not request SSNs for nonapplicants solely because they appear in the household.

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Fill out the official form

Use these notes alongside the official instructions. Complete your answers on the agency's form.

This guide describes the fields and submission instructions in the captured form. Confirm the current edition and benefit rules with DCBS.

Document format: Print-only PDF (no interactive fields found). Checked 2026-10-05. Signature support and agency acceptance still need confirmation.

  1. If you cannot complete all pages today, the form directs you to complete, sign and submit the first page, then send the remainder promptly.

    Source and date checked
    be sure to fill out this page, sign it, and turn it in.

    Official source · Checked 2026-10-05

  2. Enter your name, address, county, contact details and the requested identifying fields.

    Source and date checked
    Legal Name:

    Official source · Checked 2026-10-05

  3. Follow the specific rule for people who are not applying; their SSN is not required by this instruction.

    Source and date checked
    You don’t have to give us the Social Security Number for the people you do not want SNAP benefits for.

    Official source · Checked 2026-10-05

  4. State language, interpreter and disability accommodation needs.

    Source and date checked
    Tell Us About Your Communication or Other Accommodation Needs

    Official source · Checked 2026-10-05

  5. Complete the authorized-helper details only when choosing someone to act for you.

    Source and date checked
    You can choose to have someone help you.

    Official source · Checked 2026-10-05

  6. Complete the household chart following the form’s rules about who belongs to the SNAP household.

    Source and date checked
    On the chart below, fill in the boxes for each of the people who live in your home.

    Official source · Checked 2026-10-05

  7. Attend the interview even if you lack some listed documents and ask DCBS for help.

    Source and date checked
    If you don’t have everything listed above, complete the interview anyway. We will help you.

    Official source · Checked 2026-10-05

  8. For each household row, indicate whether benefits are requested.

    Source and date checked
    Apply for? Yes/No

    Official source · Checked 2026-10-05

  9. For each household row, indicate whether meals are bought and prepared together.

    Source and date checked
    Buy and Fix Meals Together?

    Official source · Checked 2026-10-05

  10. For each row enter the requested name, date of birth, relationship and other identity fields; apply the nonapplicant-SSN rule.

    Source and date checked
    First Name, M. I., Last Name

    Official source · Checked 2026-10-05

  11. Race and ethnicity questions are optional according to the form.

    Source and date checked
    you don’t have to answer. Your answer won’t affect how many benefits you get or how soon you get them.

    Official source · Checked 2026-10-05

  12. List adults in college or trade school.

    Source and date checked
    List anyone age 18 or over who is in college or trade school:

    Official source · Checked 2026-10-05

  13. Answer whether anyone receives SNAP in another state and give the state.

    Source and date checked
    Is anyone getting SNAP benefits from another state?

    Official source · Checked 2026-10-05

  14. Answer the printed legal-history questions; this guide makes no current eligibility determination.

    Source and date checked
    Is anyone a fleeing felon or probation/parole violator?

    Official source · Checked 2026-10-05

  15. Enter the household share of rent, lot rent, mortgage, property tax and insurance.

    Source and date checked
    How much is your household’s share of the following expenses:

    Official source · Checked 2026-10-05

  16. Mark the utility bills your household pays.

    Source and date checked
    Check the boxes next to the utility bills you have to pay:

    Official source · Checked 2026-10-05

  17. Answer the heating/cooling and prior-year LIHEAP questions.

    Source and date checked
    Did you get energy assistance (LIHEAP) in the past year at your current address?

    Official source · Checked 2026-10-05

  18. Complete the medical-expense section when its stated condition applies.

    Source and date checked
    If you have medical costs, not paid by insurance, for anyone who is disabled or over age 59 , tell us.

    Official source · Checked 2026-10-05

  19. Enter who receives care, who pays, and monthly care cost.

    Source and date checked
    Who gets care:

    Official source · Checked 2026-10-05

  20. Enter who pays court-ordered support and its monthly amount.

    Source and date checked
    If anyone is paying court-ordered child support, tell us.

    Official source · Checked 2026-10-05

  21. List expenses paid by someone else, payer and amount.

    Source and date checked
    Which Expense Was Paid? Who Paid? Amount Paid?

    Official source · Checked 2026-10-05

  22. List the requested cash, account, stock, bond and other asset amounts.

    Source and date checked
    Cash $

    Official source · Checked 2026-10-05

  23. For each income category, identify recipient and monthly amount; attach another sheet if needed.

    Source and date checked
    List the person’s name and the monthly amount.

    Official source · Checked 2026-10-05

  24. Answer the hired-but-unpaid, recent job departure, seasonal work and strike questions.

    Source and date checked
    Has anyone been hired for a job but not paid yet?

    Official source · Checked 2026-10-05

  25. Read the notices and declarations before signing and dating page8.

    Source and date checked
    Please read this information and sign and date page 8.

    Official source · Checked 2026-10-05

  26. Complete the signature/date fields and witness field when signing with an X.

    Source and date checked
    Signature/Mark (X) Witness (If signed by X) Today’s Date

    Official source · Checked 2026-10-05

  27. The separate information release is optional; read it before choosing to sign.

    Source and date checked
    You do not have to sign this,

    Official source · Checked 2026-10-05

  28. If using the optional release, print your name, sign and date, with a witness if signing with an X.

    Source and date checked
    Your Name (please print clearly) Signature or Mark (X) Witness (if signed by X) Date

    Official source · Checked 2026-10-05

Where to submit

DCBS local office; mail P.O. Box 2104 Frankfort KY 40602; form-specific fax 502-573-2007. This fax is submission-only, not a program contact phone.

Source and date checked
You can fax your application to the Department for Community Based Services (DCBS) at (502) 573-2007 or mail it to DCBS, P.O. Box 2104, Frankfort, KY 40602.

Official source · Checked 2026-10-05

Fees
Unknown — confirm the current instructions with the agency.
Fee waivers
Unknown — confirm the current instructions with the agency.
Restrictions
Unknown — confirm the current instructions with the agency.

Continue with your journey

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Official title
Kentucky Application for SNAP
Form number
FS-1
Program
SNAP
Jurisdiction
Kentucky
Revision / edition
Oct 2018
Who completes it
Applicant or program-recognized authorized representative; head of household or representative completes an interview.
Signature
Signed name/address can start filing when the whole packet cannot be completed; follow application certification and X-witness fields.
Submission methods
DCBS local office, Fax —502-573-2007, Mail —DCBS PO Box2104, Frankfort KY40602, kynect/phone application alternatives
Supporting documents
  • • Household, Kentucky residency, income and expense proof; examples include paystubs, award letters, rent/utility and childcare receipts.
  • • If evidence is missing, still complete the interview and ask DCBS to help.
Languages
English PDF read; SNAP page links Arabic, Bosnian, Chinese, French, Russian, Spanish, Somali and Vietnamese versions.
Accessibility
Agency publishes free language and disability aids; ask DCBS for interpreter/alternate communication. PDF conformance not tested.

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Source note: Official instructions and the person's notice control; an application is not an eligibility or approval decision.

NOLO does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

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