Apply for Summer EBT for Children

We are not accepting applications at this time. For more information, please call 866.359.0007.

If you applying for more than two eligible children please list their First Name, Last Name, School Attended, and DOB in the additional comments.

Parent's First Name

Parent's Last Name

Family Address

Family Email

Phone

Student Name

DOB

School Attended

Second Student (If Applicable)

DOB

School Attended

Do any Household Members (including you) participate in one or more of the following assistance programs: SNAP, TANF, or FDPIR?

None SNAP TANF FDPIR

What is your household's annual gross income? (Include income of all adults in your home)

Verification Documents (Public Assistance and Income if Applicable)