Dac Message 4679

Please list all household members who were:<br>
<li> Living in the home and eating with you at the time of the disaster<br></li>
<li> Remain in the household at the present time<br></li>
<br><br>
Do not include people who are:<br>
<li> Staying in the household temporarily<br></li>
<li> Household members who are away at college<br></li>
<li> Members of another household providing shelter to the affected household<br></li>
<br><br>
Please enter the date of birth and gender for each of the household members listed below. Social Security Numbers (SSNs) are requested, but not required. SSNs are used to identify each household member to ensure their eligibility for the Food for Florida benefits.