SFN 1032 - Request from Law Enforcement 430-05-100-70

(Revised 10/19/2023 ML 3767)

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This form is used by law enforcement agencies who are requesting SNAP information concerning an individual they are investigating. The DHHS Legal Advisory Unit must review this form when submitted by law enforcement.

 

This form is available through the Department of Health and Human Services and may also be obtained electronically via E-Forms.