FNS (Food Stamps) Replacement/Supplement Request Form

If you are a current North Carolina Food and Nutrition Services recipient or Simplified Nutritional Assistance Program recipient that has suffered a food loss due to a power outage or flooding from Hurricane Isaias, and you have not already received a replacement, you have 10 days from the date of the loss to request a replacement by filling out the DSS 1678 Replacement/Supplement Affidavit form (Spanish version). You will need to print the form, complete and sign it, then mail, fax, or drop it off at your County Department of Social Services office.