Forms

Real public data

5 SNAP forms

Online

public e-forms on health.alaska.gov

Form	Number	Use
Application for Services	GEN 50C	Apply for SNAP and other DPA programs on paper or as a public e-form	Open form
Eligibility Review form	GEN 72	Renew benefits at the end of a certification period	Open form
SNAP Interim Report form	SNAP IR	Due halfway through the certification period, only after one arrives in the mail	Open form
Change Report form	GEN 55	Report a change in income, household, address or shelter costs	Open form
Upload documents	Secure upload	Send proof such as pay stubs, identification, rent and utility bills	Open form

every six months

When: The State of Alaska requires all active SNAP recipients to complete an Interim Report halfway through their certification period to confirm they are still eligible for SNAP. That means if your household is certified to receive SNAP for 12 months, your Interim Report will be due in the 6th month, and if you're certified for 24 months, your Interim Report will be due the 12th month.
Only after one arrives: Do not complete the online SNAP Interim Report form unless you have received one in the mail. This form should not be completed prior to the month in which it is due.

Form

Number

Use

Application for Services

GEN 50C

Apply for SNAP and other DPA programs on paper or as a public e-form

Eligibility Review form

GEN 72

Renew benefits at the end of a certification period

SNAP Interim Report form

SNAP IR

Due halfway through the certification period, only after one arrives in the mail

Change Report form

GEN 55

Report a change in income, household, address or shelter costs

Upload documents

Secure upload

Send proof such as pay stubs, identification, rent and utility bills

Real public data

5 SNAP forms

public e-forms on health.alaska.gov

Form	Number	Use
Application for Services	GEN 50C	Apply for SNAP and other DPA programs on paper or as a public e-form	Open form
Eligibility Review form	GEN 72	Renew benefits at the end of a certification period	Open form
SNAP Interim Report form	SNAP IR	Due halfway through the certification period, only after one arrives in the mail	Open form
Change Report form	GEN 55	Report a change in income, household, address or shelter costs	Open form
Upload documents	Secure upload	Send proof such as pay stubs, identification, rent and utility bills	Open form

every six months

When: The State of Alaska requires all active SNAP recipients to complete an Interim Report halfway through their certification period to confirm they are still eligible for SNAP. That means if your household is certified to receive SNAP for 12 months, your Interim Report will be due in the 6th month, and if you're certified for 24 months, your Interim Report will be due the 12th month.
Only after one arrives: Do not complete the online SNAP Interim Report form unless you have received one in the mail. This form should not be completed prior to the month in which it is due.