Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 6Name / Nombre *FirstLastMombre y ApellidoEmail / Correo ElectrΓ³nico *Phone / TelΓ©fonoWhich County do you reside? / ΒΏEn quΓ© condado reside usted? *BrowardDadeOtherNext / PrΓ³ximoDo you receive any of the following? / ΒΏRecibe usted alguno de los siguientes? *SNAPSSITANFMedicaidWICNoneNext / PrΓ³ximoYou do not qualify / Usted no califica To Register for Food Assistance, please click HERE. / Para registrarse para recibir asistencia alimentaria, haga clic AQUΓ. you Nombre ΒΏcalifica Please click next if this page is blank.Β / Haga clic en siguiente si esta pΓ‘gina estΓ‘ en blanco. Next / PrΓ³ximoMaximum Income to Qualify based on Household Size / Ingreso mΓ‘ximo para calificar segΓΊn el tamaΓ±o del hogar Next / PrΓ³ximoBased on the Income Eligibility Chart, Do You Qualify? / SegΓΊn la tabla de elegibilidad de ingresos, ΒΏcalifica usted?NoYesNext / PrΓ³ximoTo Register for Food Assistance, please click HERE. / Para registrarse para recibir asistencia alimentaria, haga clic AQUΓ. You do not qualify based on your income / No calificas en base a tus ingresos. Submit / Entregar
