This is a legal form that was released by the Indiana Family and Social Services Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 54105 (DFR0009C)?
A: Form 54105 (DFR0009C) is a notice regarding rights and responsibilities for the Supplemental Nutrition Assistance Program (SNAP) and Cash Assistance in Indiana.
Q: What is the Supplemental Nutrition Assistance Program (SNAP)?
A: The Supplemental Nutrition Assistance Program (SNAP) provides eligible individuals and families with funds to purchase food.
Q: What is Cash Assistance?
A: Cash Assistance provides financial assistance to eligible individuals and families who are in need.
Q: What is the purpose of Form 54105?
A: Form 54105 is used to inform individuals receiving SNAP and Cash Assistance in Indiana about their rights and responsibilities.
Q: What information does Form 54105 provide?
A: Form 54105 provides information about the rights and responsibilities of individuals receiving SNAP and Cash Assistance, including information on how to apply, eligibility requirements, reporting changes, and appeal rights.
Q: What should I do if there are changes in my circumstances?
A: If there are any changes in your circumstances, such as income, household composition, or contact information, you should report these changes to the Indiana Department of Family Resources.
Q: What are my appeal rights?
A: If you disagree with a decision made about your SNAP or Cash Assistance benefits, you have the right to appeal the decision. Form 54105 provides information on how to request an appeal.
Form Details:
Download a printable version of State Form 54105 (DFR0009C) by clicking the link below or browse more documents and templates provided by the Indiana Family and Social Services Administration.