Form DSS-8207 - Jan 2019

The Application for Food and Nutrition Services form is used to apply for food and nutrition services provided by the NC Department of Health and Human Services. The form must be completed by individuals who are in need of food and nutrition services in North Carolina. Once completed, the form should be submitted to the local NC Department of Health and Human Services office.

Individuals who are in need of food and nutrition services in North Carolina.

Submit the completed form to the local NC Department of Health and Human Services office.