106 CMR 361.100
Filing an Application
Households who want to participate in SNAP must submit an identifiable SNAP application.
An identifiable SNAP application contains the applicant's name and address and is signed by a
responsible member of the household or the household's authorized representative. The
application may be submitted in person by the applicant or an authorized representative or by
mail, fax or the online application.
The application form used by the Department must contain or be accompanied by the
following information:
(A) A statement that the information provided by the applicant on the application will be
subject to verification by federal, state, and local officials to determine whether such information
is factual and that if any material part of that information is incorrect, SNAP benefits may be
denied and the applicant may be subject to criminal prosecution for knowingly providing
incorrect information;
(B) A description of the civil and criminal provisions and penalties for violations of the Food
Stamp Act and its amendments; and
(C) A statement to be signed by one adult household member that certifies, under penalty of
perjury, the truth of the information contained in the application, including the information
concerning citizenship and noncitizen status of all household members.