Referral Form

If you live in Alabama or Mississippi and need to apply for food stamps - now called the Supplemental Nutrition Assistance Program (SNAP) - we can help. We’ll walk you through the application process, help you determine if you meet the income guidelines for food assistance benefits.

If you are over 60, we can help you apply for more benefits:

  • LIHEAP (energy assistance)
  • Medicare LIS (Extra Help)
  • Medicare MSP (Medicaid)
  • Senior Farmers Market Vouchers

Please fill out the form below and a member of our Outreach Team will contact you.