FOR SNAP - If you purposely hold back information about changes in your household, you will owe us the value of the extra benefits you receive a result. You may also be barred from the SNAP program for 1 year, 2 years, or permanently and be fined and/or imprisoned.
PENALTY WARNING: Any information provided on this form is subject to verification by federal, state, and local officials. If any information is inaccurate, you may be denied SNAP benefits and/or be subject to criminal prosecution for knowingly providing false information.
- 13 CSR 40-2.190 provides for recovery of benefits when it is determined someone has received benefits they are not entitled to.
- 7 USC 2024(b)(c) and (h). Anyone who knowingly uses, transfers, acquires, alters, or possesses coupons, or access devices in any manner contrary to the SNAP is subject to fine and imprisonment. Upon conviction, punishments include a fine of $250,000 and/or imprisonment for 20 years if the value of the coupons or access devices is $5,000 or more. If the value is less than $5,000 but greater than $100, punishments include a fine of $10,000 and/or imprisonment for 5 years. If the value is less than $100, punishments include a fine of $1,000 and/or imprisonment for 1 year. Anyone who presents for payment or redemption coupons which have been illegally received, transferred, or used is subject to a fine of $20,000 and/or imprisonment for 5 years if the value of the coupons is $100 or more. If the value is less than $100, punishments include a fine of $1,000 and/or imprisonment for 1 year. Anyone convicted of felony offenses relating to the above transactions is also subject to having all real and personal property used in such transactions forfeited to the United States.
- 7 USC 2015(b)(1). Anyone convicted in a federal, state, or local court of trading benefits for controlled substances, illegal drugs or certain drugs for which a doctor's prescription is required, shall be barred from the SNAP for 2 years for the first offense and permanently for the second offense. Anyone convicted of trading benefits for firearms, ammunition, or explosives is barred permanently from the SNAP for the first offense.
- 7 USC 2015(b)(1)(iii)(IV) and 2015 (j). Anyone convicted of trafficking in SNAP benefits of $500.00 or more shall be permanently disqualified from the SNAP program for the first offense. Anyone found by a state agency to have made or convicted in a federal or state court of having made fraudulent statements about identity or residence in order to receive multiple SNAP benefits simultaneously shall be ineligible to participate in the SNAP for ten (10) years beginning with the date of such agency determination or such conviction in a federal or state court.
FOR ALL PROGRAMS EXCEPT MO HEALTHNET- I understand I will owe the value of any extra benefits I receive because I do not fully report changes in my household. I understand the penalty for hiding or giving false information. My signature below certifies under the penalty of perjury that all declarations made on this change report are true, accurate, and complete.
For all programs - By signing this document, I certify under penalty of perjury that all declarations made in this document are true, accurate, and complete, to the best of my knowledge. Electronic Signature Terms and Conditions: I have agreed to sign this document by electronic means. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.