Request For Information– **/**** CCPRINT#********
CS#328894218
KEVIN MITCHELL
Ste 2 PMB 104
NORTH EAST MD 21901
If you are a limited English speaker or you require reasonable accommodations for a disability or impairment, please notify a case manager.
Dear Kevin Mitchell :
We do not have all of the information we need to determine your eligibility. Please return all of the requested items to us by:
DUE DATE:08/15/2025
If we do not receive this information by the requested date, we may have to deny your application or close your case.
IMPORTANT NOTE: Please read this entire form. If there are any questions or concerns, contact DHS Customer Call Center at 1-800-***-****.
● Please return the requested necessary documents and verifications items listed below to us by your due date to avoid a delay in getting your benefits. You can log into your Maryland Benefits account at marylandbenefits.gov to upload the requested documents. You may also mail or drop-off your documents at your local office at the address listed above.
● If you are unable to provide the requested information and verification, we may be able to assist you in obtaining the information. Please let us know if you require assistance. You will be required to sign a Consent to Release Information form.
CECIL COUNTY DSS
170 E. MAIN ST.
ELKTON MD 21921
MARYLAND DEPARTMENT OF HUMAN SERVICES
Correspondence Type: Request For
Information
Correspondence Date: 08/05/2025
Program Name: SNAP
Case ID: 328894218
DHS Customer Call Center Number:
Website info: marylandbenefits.gov
TTY: 1-800-***-**** or 7-1-1
Page 1 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
CECIL COUNTY DSS
170 E. MAIN ST.
ELKTON MD 21921
District: CECIL COUNTY DSS
Date: 08/05/2025
Insert in Return Envelope with the Address Below Showing KEVIN MITCHELL
10 MONTGOMERY DR
Ste 2 PMB 104
NORTH EAST MD 21901
CECIL COUNTY DSS
170 E. MAIN ST.
ELKTON MD 21921
Page 2 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
Documents Required
The required documents for processing your application are listed below*
# No. Program Name Verification Type Individual Name Information Needed 1
SNAP Utility Expense
Verification
Kevin Mitchell Proof of Utility expenses incurred
(Bill/Statement for Electric, Gas,
Oil, Kerosene, Wood, Coal,
Propane, Phone, Water, Sewage,
Garbage or any other utilities
reported)
2
SNAP Shelter Expense
Verification
Kevin Mitchell Proof of shelter (Lease, Rent,
Mortgage, Housing Authority
form, Section 8, HUD Form, Form
1130, PAA 129, Property Tax,
Condo Fees, Homeowner's
Insurance)
* You may also receive a request to provide additional verification documentation after a review of the materials you provide.
If you do not give us the information we requested, we may have to deny your application or close your case. If you do not provide proof of your expenses you will not receive the credit for your expenses. Where can you get more information?
You can call us at the telephone number listed above. Be sure to have this letter and your case number ready. You can also look at our website marylandbenefits.gov for general information. Page 3 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
MD THINK is changing its name to Maryland Benefits. To more directly meet Marylanders needs, we are simplifying the name of the social safety net programs to Maryland Benefits. No action is required on your part. You will be able to continue to access myMDTHINK through the website you currently use or through marylandbenefits.gov.
Reporting Changes: You must also report all changes in your household circumstances, such as income, resources, health insurance, and household members within ten days of the change. Failure to report these changes may result in cancellation of your eligibility, overpayments, and you may be subject to penalties of fraud. Changes can be reported in person, by mail, or online at https://marylandbenefits.gov. Updating Your Address: It is very important that you notify us if you move. Mail from the Maryland Medical Assistance Program and HealthChoice will not be forwarded to a new address. If we do not have your current address, you will not receive important letters about HealthChoice and continuing eligibility. Address changes can be reported in person, by mail, or online at https://marylandbenefits.gov. Redetermination: Approximately 60 days before the end of your certification, you will receive notification to renew your benefits. After we receive your redetermination, your eligibility will be reviewed. You can complete your redetermination in person, by mail, or online at https://marylandbenefits.gov. If you do not complete this by the established due date, your eligibility will end. OHEP: Need money to pay your electric and heat bills? If you qualify, the Office of Home Energy Programs (OHEP) can help. For information call 1-800-***-**** or visit us online at https://dhs.maryland.gov/office-of-home- energy-programs/.
Lock Your EBT Card: Keep your Electronic Benefits Transfer (EBT) card benefits safe from thieves by using the EBT Card Lock/Unlock feature. To use Card Lock, download the ConnectEBT app on your mobile device or login to your account at https://www.connectebt.com/mdebtclient/. To learn more, scan this QR code with your mobile device camera or go to our website, www.dhs.maryland.gov/prevent-ebt-theft/. Sign Up To Get EBT Card Transaction SMS Text and/or Email Alerts: Use the ConnectEBT app on your mobile device or login to your account at https://www.connectebt.com/mdebtclient/ to sign up for text and email alerts when your card is used or your account information changes:
● New Transaction Alert - Receive an alert for every transaction including purchases, returns, deposits, etc.
● Changes to Your Account Information - Receive an alert whenever your account information changes including your address, PIN, password, etc.
Page 4 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
If you believe your card is compromised, order a new card, immediately change your PIN and turn on Card Lock. Page 5 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
LANGUAGE ACCESSIBILITY STATEMENT
Interpreter Services Are Available for Free
Help is available in your language: 1-800-***-****, (MD Relay TTY: 1-800-***-**** or 7-1-1). These services are available for free.
Español/Spanish
Hay ayuda disponible en su idioma: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Estos servicios están disponibles gratis.
አማርኛ/Amharic
እገዛ በ ቋንቋዎ ማግኘት ይችላሉ : 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1) እነዚህ አገልግሎቶች ያለክፍያ የሚገኙ ነጻ ናቸው
/ العربيةArabic
ملحوظة: إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 2142-226-800-1 )رقم هاتف
.الصم والبكم: ( 2258-735-800-1
/文中Chinese
用您的语言为您提供帮助:1-800-***-**** (TTY: 1-800-***-**** or 7-1-1) 这些服务都是免费的
/ فارسیFarsi
2142-226-800-1(خط تلفن کمک به زبانی که شما صحبت می کنید : 2258-735-800-1)خط تماس افراد ناشنوا این خدمات به صورت رایگان در دسترس هستند
Français/French
Vous pouvez disposer d’une assistance dans votre langue : 1-800-***-**** (TTY: 1-800-***-**** or 7- 1-1).Ces services sont disponibles pour gratuitement. ગુજર ત /Gujarati
તમ ર ભ ષ મ ં મદદ ઉપલબ્ધ છે: 1-800-***-**** (ટ ટ વ ય: 1-800-***-**** or 7-1-1). સેવ ઓ મફત ઉપલબ્ધ છે
kreyòl ayisyen/Haitian Creole
Gen èd ki disponib nan lang ou: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Sèvis sa yo disponib gratis.
Igbo
Enyemaka di na asusu gi: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Ọrụ ndị a dị na enweghi ugwo i ga akwu maka ya.
Page 6 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
한국어/Korean
사용하시는 언어로 지원해드립니다: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1) 무료로 제공 됩 니다
Português/Portuguese
A ajuda está disponível em seu idioma: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1) Estes serviços são oferecidos de graça.
Русский/Russian
Помощь доступна на вашем языке: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Эти услуги предоставляются бесплатно.
Tagalog
Makakakuha kayo ng tulong sa iyong wika: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1) Ang mga serbisyong ito ay libre.
/اردوUrdu).
2142-226-800-1 ) خبردار: اگر آپ اردو بولتے ہیں تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں کالTTY: 1-800-***-**** or 7-1-1). کر
Tiếng Việt/Vietnamese
Hỗ trợ là có sẵn trong ngôn ngữ của quí vị 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Những dịch vụ này có sẵn miễn phí.
Yorùbá/Yoruba
Ìrànlọ́wọ́ wà ní àrọ́wọ́tó ní èdè rẹ: 1-800-***-**** (TTY: 1-800-***-**** or 7-1-1). Awon ise yi wa fun o free.
Page 7 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
USDA Nondiscrimination Statement
This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex, and in some cases religion or political beliefs.
The U.S. Department of Agriculture also prohibits discrimination based on race, color, national origin, sex, religious creed, disability, age, political beliefs, reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.) should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800-***-****. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-050*-****-***- 11-28-17Fax2Mail.pdf, from any USDA office, by calling 833-***-****, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to:
Mail: Food and Nutrition Service, USDA
1320 Braddock Place, Room 334
Alexandria, VA 22314; or
Fax: 833-***-**** or 202-***-****; or
Email: ************************@****.***
NOTE: DO NOT send your Maryland DHS forms or verification documentation to this email address. You may send your DHS forms and verification documentation to the address on the letter/notice you received. For any other information or issue with the Supplemental Nutrition Assistance Program (SNAP), you may contact USDA SNAP Hotline Number at 800-***-**** or call the DHS Call Center at 800-***-****. You may access the FNS website for other states hotline number found at http://fns.usda.gov/snap/contact_info/hotlines.htm. To file a complaint of discrimination regarding a program receiving federal financial assistance through the U.S. Department of Health and Human Services (HHS), write: HHS Director, Office of Civil Rights, Room 515- F, 200 Independence Avenue, S.W., Washington, D.C. 20201 or call 202-***-**** (voice) or 800-***-****
(TTY). This institution is an equal opportunity provider. Page 8 of 10
Request For Information– 08/2025 CCPRINT#46818248
CS#328894218
Fair Hearing
Any time you disagree with a decision taken on your case, you have the right to request a fair hearing with an official who is required by law to review the facts of every case in a fair and objective manner. You have 90 days from the date of the notice for Supplemental Nutrition Assistance Program (SNAP) benefits and 90 days from the date of the notice for Cash Assistance benefits to request a fair hearing. You can request a hearing by calling the case manager listed on your notice or by calling the Call Center at 1-800-***-****. You may have anyone you choose represent you at the hearing or you may represent yourself. If you need free legal help, call your local office or call Legal Aid at 1-800-***-****. What happens to your Supplemental Nutrition Assistance Program (SNAP) and other program benefits while you wait for your fair hearing?
If you request a fair hearing within 10 days from the date of notice and your program certification period has not expired, you can continue to receive benefits unless you opt out and tell us you do not want them. However, it is important to know that if the case is not decided in your favor, any benefits that you received during this time that you were not entitled to must be paid back. You can opt out of receiving benefits while you wait for your fair hearing by:
● Checking the box on Question 4 of the Fair Hearing Request form; or
● Notifying your case manager or the Call Center representative who is assisting you request a fair hearing.
Requesting a Reasonable Accommodation
If you have a disability, you are entitled to reasonable accommodations to help you access DHS’s activities, programs and services. This applies even if you are working with a vendor who provides services to DHS’s customers.
A request can be made any time by you or someone assisting you. The request may be made in person, in writing or over the telephone. If a reasonable accommodation is needed, speak with your case manager or your local department’s Customer Access Coordinator. You may also request assistance at the front desk of your local department.
Examples of Reasonable Accommodations
● Hearing Impairment: sign language interpreter; providing an assistive listening device
● Visual Impairment: having a qualified reader read to a customer
● Mobility Impairment: mailing forms to a customer; meeting a customer at a more accessible location
● Developmental Disabilities: having things written down; taking breaks; scheduling appointments around a customer’s medical need.
Page 9 of 10
– CCPRINT#46818248
CS#328894218
THIS PAGE IS LEFT BLANK INTENTIONALLY
Page 10 of 10