This form walks SNAP cardholders through a replacement request for a lost or stolen benefits card, opening with contact details — full legal name, phone number, and an optional email address — so the agency has a reliable way to follow up. Questions four and five then tie the request to an official record by asking for the case ID or client identification number and whether the card was lost or stolen, which determines how the case is categorized and handled. The final three questions — the approximate date the card went missing, a description of the circumstances, and whether a police report was filed — give caseworkers the context they need to assess eligibility and prioritize theft cases. After submitting, respondents see a confirmation telling them their request is under review and that the agency will be in touch about next steps.
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Relies on questions four through eight to document the case ID, card status, incident date, circumstances, and any police report — everything needed to open a replacement case.
Uses the structured single-choice and open-ended questions to collect consistent, categorized incident data that caseworkers can act on without follow-up calls for basic details.
Depends on the optional email and required phone number questions to ensure there is always at least one confirmed contact channel before guiding a client through submission.
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