Form H1840, SNAP Food Benefits Renewal Form

Effective Date
H1840.pdf (100.21 KB)
H1840-S.pdf (1.1 MB)


Updated: 12/2010


To serve as a review form for Supplemental Nutrition Assistance Program (SNAP) recertification of categorically eligible Supplemental Security Income (SSI) households.


When to Prepare

The client completes the form for each SNAP recertification.

The head of the household, spouse or a designated authorized representative may complete and sign the form.

Number of Copies

An original only.


File Form H1840 in the client's case folder.

Form Retention

See Texas Works Manager's Guide for Eligibility Programs.


Agency Use

Voter Registration – Give Form H0025, Voter Registration Application, to clients who indicate an interest in registering to vote and who meet the voting registration requirements. Authorized representatives or representative payees also may take Form H0025 to the client to complete. Mail Form H0025 when the client does not have a face-to-face interview or the client reports a change of address by telephone or by mail. If requested, assist in the completion of Form H0025.

If the applicant or client declines to register to vote during a face-to-face interview, ask the client to sign Form H1350, Opportunity to Register to Vote. Mail Form H1350 to a client who did not have a face-to-face interview who declines the opportunity to register to vote, based on receipt of Form H0025.

Voter Registration Status – Check the appropriate box under Agency Use Only and sign.

Fill in the Agency Use Only section when the client returns the application.

The remainder of the form is client-completed and self-explanatory.