3. Paper Application

Download the appropriate paper application from the list below and mail it to your local county assistance office.

• Pennsylvania Application for Benefits(Cash Assistance, Health Care, SNAP)
  English  |  Spanish  |  Cambodian  |  Chinese  |  Russian  |  Vietnamese
• Health Care Coverage Application —  English  | Spanish
  
• SNAP Application —  English  |  Cambodian  |  Chinese  |  Russian  |  Spanish  |  Vietnamese
  
• SNAP (Simple Application) for Seniors and People with Disabilities —  English  |  Spanish
  
• Breast Cancer Prevention & Treatment Program Application —  English  |  Spanish  |  Renewal
  
• Medical Assistance for Workers with Disabilities Application —  English  |  Spanish
  
• Benefits Review —  English  |  Spanish  |  Russian  |  Vietnamese  |  Cambodian 
  
• Medical Assistance Financial Eligibility Application for Long-Term Care, Supports, and Services —  English  |  Spanish
  

4. Phone

You can apply for SNAP and Medical Assistance over the phone by calling:

1-866-550-4355