SUPPLEMENTAL BENEFITS PRE-APPLIATON SCREENING FORM For Food Stamps and PeachCare Children's Health Insurance

Money is tight for everyone these days, and Step Up Savannah
is helping hard-working families stretch their budgets further with additional dollars
from Food Stamps and Peach Care Children’s Health Insurance.  We know these programs can be confusing and
time-consuming, so we will do the work and let you know if you may qualify. 

Instructions:  Complete all parts of this form and send it
in the pre-stamped envelope to:

Step Up
Savannah,428 Bull Street, Suite 208, Savannah, GA 31401

FAX:  912-401-0341

E-mail:  styler@stepupsavannah.org   Subject Line = Benefits Screening

Attachment(click to download)
Behavioral Economics REVISED Eligibility Form for Food Stamps and Peach Care Insurance.docBehavioral Economics REVISED Eligibility Form for Food Stamps and Peach Care Insurance.doc