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WA Senior Farmers Market Nutrition Program Application and Affidavit for Eligibility

Steps

  1. 1. WA Senior Farmers Market Nutrition Program Application & Affidavit for Eligibility
  2. 2. Signature:
  3. 3. Completed
  • WA Senior Farmers Market Nutrition Program Application & Affidavit for Eligibility

    1. Please fill out all lines

      Eligible applications received (via mail or online) by June 4, 2021 will receive priority. If funding is still available after this date, additional eligible applicants will receive vouchers on a first come first serve basis.

      For questions, contact: Homage Services (425) 513-1900 or Snohomish County (425) 388-7393

       



    2. Identifier for SFMNP

    3. Senior Farmers Market - SFMNP

    4. The Senior Market Nutrition Program (SFMNP) provides $40 in vouchers to lower income seniors to purchase fresh fruit and vegetables with the goal of improving their health and nutritional status. It also supports local farming by increasing the use of farmers markets and roadside stands.

      To be eligible for the SFMNP, you must meet all the following criteria:

      1. You must be 60 years old or older by June 30, 2021 (or 55+ if you are Native American/Alaska Native)
      2. Your income must be below 185% of Federal Poverty Level. That means:
        • $23,828 Annual or $1986 Monthly Income for 1 person
        • $32,227 Annual or $2686 Monthly Income for 2 people
        • For larger households, add $700 for each additional person
      3. You must be a resident of Washington State

      ***This application is for Snohomish County residents only***
       
      By signing this form, you certify that you meet all the eligibility requirements above and acknowledge that you have been given SFMNP Rights and Responsibilities information