Household Information

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Information about Yourself

What is your ZIP Code?

Don't know your ZIP Code? Click Here

Where are you using Arizona Self Help from?

How did you hear about Arizona Self Help?

Other Household Members

Do you have a spouse that lives with you?

* How many of your and/or your spouse's children under 18 live with you?

* How many other children under 18 live with you?

* How many other adults, age 18 or older, live with you?

Note: Include all children 18 and older, but do not include your spouse.

Is everyone in your household a US citizen?

Note: If you answer "No" to this question, you will be asked about the immigration status of each person. Certain benefits are available to both citizens and non-citizens. The administrators of this website do not collect or store personally identifiable information. See the privacy policy for more information.

Does everyone in your household share food?

Does anyone in your household have a disability or is anyone blind?

Is anyone in the household attending, or planning to attend, a college or university this year or next?

* Required Question

SNAP Questions

Did You Know?

If your household is receiving SNAP, you are eligible for WIC (Women, Infants, and Children Program) benefits? Contact your local WIC office or ask your application assister for more information!