The Department of Social Services provides a broad range of services to the elderly, people with disabilities, families, and individuals who need assistance in maintaining or achieving their full potential for self-direction, self-reliance and independent living.  In order to receive services from the Department of Social Services, you will need to apply. Some programs require that you apply at your regional office with an interview, such as Temporary Family Assistance and the Supplemental Nutrition Assistance Program.

If you mail in your application, please sure to mail in copies of all the verifications needed with your application.

For specific information on Regional Office locations and hours, please follow this link. 

Applications for Programs

To apply for State Supplement, Medicaid, State-Administered General Assistance (SAGA), Supplemental Nutrition Assistance (SNAP, formerly known as Food Stamps) or Home Care Programs, you will need to fill out the W-1F Application form.  You should print this application, complete it and return it to your local DSS office as soon as possible even if you do not have all of the required information.  This application cannot be submitted electronically at this time.

Application for Assistance W-1F

Documento Especial de Determanación de Eligibilidad - (Versión en Español)  

If you wish to apply for the Supplemental Nutrition Assistance Program ONLY, you can do so by filling out form W-IFOOD "Application for Food Stamp Benefits Only."

Application for SNAP Benefits Only -  W-1FOOD

Solicitud Para Beneficios de Cupones para Alimentos Solamente – W-1FOOD(S)

If you wish to apply for health insurance ONLY, you can do so by filling out form W-1HUS “Application for HUSKY, Medicaid for Low-Income Adults, Charter Oak Health Plan and Connecticut Pre-Existing Condition Plan.”

Application for HUSKY, Medicaid for Low-Income Adults, Charter Oak Health Plan and Connecticut Pre-Existing Condition Plan – W-1HUS

Application for HUSKY, Medicaid for Low-Income Adults, Charter Oak Health Plan and Connecticut Pre-Existing Condition Plan – W-1HUS (Versión en Español)

For all other applications, please visit our Application and Forms page.

Verification for Programs

We may ask you to give us proof of some of the information that you tell us. Visit this link for a full guide to verifications required for DSS programs. This list gives you examples of some of the types of proof that you can use when applying for programs. If we ask you for proof and you do not have one of the items in this list, talk to your worker. Your worker will be able to tell you about other types of proof that we can use. Guide to Verification for Programs (Versión en Español)