You can have a volunteer help you fill out your application if you are:
- 60 or older and
- Live in Marion, Polk or Tillamook Counties
For questions about how or where to apply for food stamps Contact Oregon SafeNet, 1-800-723-3638
These application forms should be printed and filled out by hand and then sent to your local DHS self-sufficiency office.
- English (PDF, 169 KB)
- Spanish (PDF, 1.46 MB)
- Russian (PDF, 335 KB)
- Vietnamese (PDF, 270 KB)
- English (PDF fillable, 1.2 MB)
- Spanish (PDF fillable, 854 KB)
- There are no fillable versions of the Russian or Vietnamese applications at this time.
If you are having difficulty opening the application forms, please use this link to
report the problem.
report the problem.
Instructions for filling out fillable forms
To view, complete and print fillable forms you will need the Acrobat 5.0 Reader (or later) software installed on your computer. The newest version of the Adobe Acrobat Reader can be downloaded for free at http://get.adobe.com/reader/
Fillable forms are provided in English and Spanish. Fillable forms allow you to enter your data on-screen instead of completing forms by hand. It does not transfer the information on-line and it does not allow you to save your completed, or partially completed, forms to a disk or on your computer. However, you can save a blank form on to your computer and electronically fill it out, save it and print it.
To save a blank application form to your computer right-click on the link and select "Save Target As" (Internet Explorer) or "Save Link As" (Firefox) and save the document on your computer.
NOTE: These PDF files are very large. If you cannot download them to your computer, contact your local Self-sufficiency office and ask them to mail you an application form.
- Families and single adults without a disability contact your local DHS self-sufficiency office.
- Seniors and people with disabilities contact a Seniors & People with Disabilities or Area Agencies on Aging office.
- For more information on how and where to apply for food stamps, you can call Oregon SafeNet, 1-800-723-3638.
You can find an explanation of the types of food items you can buy with your EBT card on the USDA Food and Nutrition Services Web site.
How can I make the most of my food benefits?
For information about making good use of your food money see the USDA Making the Most of Your Food Benefits brochure.
Also see: Food Benefits Nutrition Education
There are two ways to find out how much money is in your food benefit or cash account.
- You can look at your last store or ATM receipt (also see How to Use Your Oregon Trail Card pages 14 and 15)
- You can call customer service at 1-888-997-4447
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