Request a SNAP Application Form
To request a SNAP Application, please fill out and submit the form below. Due to demand, we can only fill 25 requests for applications per week. Please help us fund more surgeries by contacting your State Representatives to request that they fund Senate Bill 282. Learn more.
If you do not see a form below, all requests for applications have been filled this week. Please check back on the following Monday morning.
You must be a resident of the State of Indiana to request a SNAP application.
Notice: We have been experiencing some ongoing issues with our mail service. When you receive your application, please make sure you are sending items to our current address: 1100 West 42nd Street, Suite 205, Indianapolis, IN 46208. If you want to ensure your items reach us, you might consider sending certified or registered mail, although we do not require this. For SNAP clients, please keep your receipts for your money orders in case you need to ask for a refund.
We are documenting these issues to discuss with the U.S. Postal Service, but please keep in mind that we do not control this service. Please be assured that our office is efficient in issuing certificates and sending out requested applications. If you need to follow-up with our office regarding an issue, please contact us at 317-767-7771 or info@getthemfixed. Thank you.
Available SNAP applications for this week have been claimed. To request an application for a SNAP certificate please return to this page the next Monday morning. Applications will open at 8:30 a.m.
For information on low-cost and spay neuter services near you, please click here.