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Department of Human Services (DHS) — District of Columbia

Combined Application for Food, Medical, & Cash Benefits

Pre-filled for: Thurman Morris III · [address on file], Apt. 3, Washington, DC 20032 · Date: April 2026

Quick Links — Apply Online or In Person

Apply Online: dhs.dc.gov SNAP Application
Mobile App: Download District Direct (Apple) or District Direct (Google Play)
Call Center: (202) 727-5355 · TTY/TDD: 711 or (855) 532-5465
Nearest Service Center: Congress Heights — 4049 South Capitol St SW, DC 20032 · Fax: (202) 645-4524

All 5 DHS Service Center Locations

📍 Congress Heights (Closest)4049 South Capitol St SW, DC 20032
Fax: (202) 645-4524 📍 Anacostia2100 MLK Jr Ave SE, DC 20020
Fax: (202) 727-3527 📍 Fort Davis3851 Alabama Ave SE, DC 20020
Fax: (202) 645-6205 📍 Taylor Street1207 Taylor St NW, DC 20011
Fax: (202) 576-8740 📍 H Street645 H St NE, DC 20002
Fax: (202) 724-8964 📞 ESA Call Center(202) 727-5355
Mon-Fri 7:30am - 4:45pm
APPLYING FOR

Programs

✓ Food (SNAP) — Monthly benefits for groceries
✓ Medical — Medicaid / DC Healthcare Alliance
Cash (TANF) — Not applicable (no dependent children)
STEP 1

Applicant Information

First Name
Thurman
Last Name
Morris
Middle Name
—
Suffix
III
Residential Address
[address on file], Apt. 3
City
Washington
State
DC
ZIP
20032
Mailing Address (if different)
Same as above
Preferred Phone
[phone on file]
Phone Type
Mobile
Email Address
CEO@tm3global.com
✓ I consent to receive text messages, email messages, and pre-recorded calls related to my ESA case(s).
Would you like to name people who can act on your behalf?
YesNo

Language: English · No interpreter needed

STEP 1A

Expedited SNAP (E-SNAP) Screening

To qualify for E-SNAP, your income + liquid resources must be less than your monthly housing costs, OR income is under $150 with resources of $100 or less.

1. Will your household income be $150 or more this month?
YesNo
Monthly income amount
$650 (SSDI $540 + Disability $110)
2. Does your household have more than $100 in liquid resources?
YesNo
Liquid resources amount
Less than $100
3. What will your household pay for housing this month?
$400 - $600 (rent)
4. Is your income + resources more than your housing cost?
YesNo
5. Migrant or seasonal farm worker?
YesNo

Based on these answers, you may qualify for Expedited SNAP (E-SNAP) — benefits within 7 days.

STEP 2

Household Member #1 (YOU)

First Name
Thurman
Last Name
Morris
Middle Name
—
Suffix
III
Applying for
Food, Medical
Date of Birth
__/__/____ (fill in)
Sex
Male
Hispanic or Latino?
YesNo
Race/Ethnicity
Black / African American
Social Security Number
___-__-____ (fill in at office — do not enter online)
Marital Status
Never been married
Relationship to applicant
Self
U.S. Citizen or U.S. National?
YesNo
Naturalized or derived citizen?
YesNo
American Indian or Alaska Native?
YesNo
In the Military or a U.S. Veteran?
YesNo
Currently live in the District of Columbia?
YesNo
Intend to stay in the District?
YesNo
Victim of domestic violence?
YesNo
False statements conviction (last 10 yrs)?
YesNo
Graduated high school or GED?
YesNo
Currently in school or job-training?
YesNo
Fleeing law enforcement?
YesNo
Convicted of trading SNAP for drugs?
YesNo
Convicted of buying/selling SNAP over $500?
YesNo
Convicted of fraudulent duplicate SNAP?
YesNo
Convicted of trading SNAP for weapons?
YesNo
STEP 2A

Further Questions — Household Member #1

Staying in an institution (nursing home, hospital, jail, etc.)?
YesNo
In the District voluntarily?
YesNo
Currently experiencing homelessness?
YesNo
Blind?
YesNo
Disabled?
YesNo
Need help with daily living activities?
YesNo
Live in foster care?
YesNo
In foster care at age 18+?
YesNo
Emancipated?
YesNo
Pregnant or recently pregnant?
YesNo
Help paying medical bills from last 3 months?
YesNo
Had insurance through a job and lost it in past 3 months?
YesNo
STEP 3

Immigration Status

Non-U.S. citizen seeking benefits?
YesNo — Skip to Step 4

Applicant is a U.S. citizen. This section does not apply.

STEP 4

Tax Filing Information (Medical)

Tax Filer Name
Thurman Morris III
Filing Status
Single
Tax Dependents Living with Filer
None
Tax Dependents NOT Living with Filer
None
STEP 5

Household Income

✓ Yes — household has income
Income TypeWho ReceivesAmountHow Often
Social Security (SSDI)Thurman Morris III$540Monthly (3rd of month)
Disability BenefitsThurman Morris III$110Monthly (1st of month)
Total Monthly Income
$650 / month
Anyone stopped working or reduced hours in last 60 days?
YesNo

Not employed. Income is exclusively from federal disability benefits.

STEP 10

Household Assets

Cash on hand or in the home?
YesNo
Financial accounts?
YesNo
Vehicles?
YesNo
Property assets?
YesNo
Life insurance, trust, burial plot/plan?
YesNo
Sold/traded/given away assets in last 3 months?
YesNo
STEP 11

Household Expenses

Monthly Rent
$____ (fill in actual rent amount)
Mortgage
N/A
Who pays rent?
Thurman Morris III
Utilities paid separately from rent (check all)
Electric Gas Fuel Water Phone (cell)
Pay for heating/AC separately from rent?
YesNo
LIHEAP benefits in past 12 months?
YesNo
Homeless?
YesNo
Pay child support?
YesNo
Pay dependent care expenses?
YesNo
Disabled or 60+ paying medical bills?
YesNo
Monthly medical bills amount
$____ (fill in if applicable — prescription costs, etc.)
STEP 13

Interim Disability Assistance (IDA)

Have you filed an SSI application with SSA?
YesNo
Is your SSI application still in progress?
____ (fill in current status)

If awaiting SSI determination, you may qualify for IDA (Interim Disability Assistance) cash benefits while waiting.

STEP 14

Household Questions

Received in last 30 days?
Work Incentive Allowance
Federal EITC
Lump sum payment
✓ None of the above
Physical or mental condition making it hard to work?
YesNo
STEP 7

Voter Registration

Would you like to register to vote?
YesNo

DC Board of Elections: dcboe.org/voters/register-to-vote · 441 4th St NW, Suite 250, DC 20001 · (202) 727-2525

SIGNATURE

Certification & Signature

I attest under penalty of perjury that the information submitted is correct. I give permission to DHS to get information about me from employers, landlords, banks, and utility companies.

Applicant Signature
Sign here
Date
____/____/2026

Additional Resources & Helpful Programs

🍽 SNAP Benefits (Food Stamps)Apply online at dhs.dc.gov 🏥 DC Health LinkAffordable health insurance & Medicaid
(855) 532-5465 🍷 WIC ProgramFood for children under 5
1-800-345-1942 💉 HealthCheckFree checkups for children on Medicaid
(202) 639-4030 ⚖ Social Security AdministrationSSI / SSDI questions
1-800-772-1213 🏠 DC Housing AuthorityPublic Housing & Section 8
(202) 535-1000 💼 Dept of Employment ServicesJob training & placement
does.dc.gov 💚 HIV/AIDS Testing & Services(202) 671-4900 🛠 Medicare1-800-633-4227 🎖 DC Veterans Affairs441 4th St NW, Suite 870N
(202) 724-5454 · ova@dc.gov

What to Bring to Your Appointment

✓ This filled application (print this page)
✓ Photo ID (driver's license or non-driver ID)
✓ Proof of DC residency (lease, utility bill, mail at your address)
✓ Proof of income (SSA award letter showing $540 SSDI + $110 disability)
✓ Proof of rent payment
✓ Social Security card or number
✓ Any medical expense receipts (prescriptions, doctor bills)