Notice of Case Action

ACCESS CENTRAL MAIL CENTER State of Florida Department

P.O. BOX 1770 of Children and Families
OCALA FL 34478

August 13, 2024 Case: 1756689679 Phone: (000) 000-0000

JEAN A TEJADA CAMPOS

2
8040 COLONY CR N 303
TAMARAC FL 33321

Dear Jean A Tejada Campos

The following is information about your eligibility.

Food Assistance

Your Food Assistance application/review dated July 16, 2024 is denied for the following months:

Name Jul, 2024 Aug, 2024 Sep, 2024

Jean Tejada campos I Ineligible Ineligible Ineligible

Reason: YOU OR A HOUSEHOLD MEMBER DO NOT MEET THE CITIZENSHIP REQUIREMENT

No household members are eligible for this program. You do not or no longer qualify for this benefit due to income
and/or or a change in your household circumstances.
The law that supports this action is:

(FL Admin. Code = R) (FL Statute = S), S414.31 R65A-1.205

Did you know you now have an on-line account with us? Go to www.myflorida.com/accessflorida . You will
need your case number, 1756689679, to activate your My ACCESS Account. Then you can get into your
account with a user name and password of your choice.
If you missed your food assistance interview, it is your responsibility to contact the Department of Children and Families
ACCESS Florida office to reschedule a time to complete the interview. If you need to complete a recertification, you
have until the end of your current certification period to complete the interview without having to submit a new
application. However, if your case is already denied or closed because you missed your interview, you must reapply, if
your certification period has ended.

For applications, if you completed the interview (if required) by the 30 th day after the application date, you do not need
to give us a new application if you give us all the verification we asked for within 60 days from the day you originally
turned in your application. If you do not give us all the verification we asked for within 60 days from the day you
originally turned in your application, you will have to complete a new application.

AE01 FORM : CF-ES 103 03 2009

For reviews, if you completed the interview (if required) by the end of the eligibility period, your household has until the
30th day after the end of the eligibility period to return the verifications.

Please report if anyone in your household receives an approval of public assistance or Supplemental Security Income
(SSI).

Free legal services are available at floridalawhelp.org.

DCF Services:
For information about your case, you may access your case information quickly and securely:
• through My ACCESS Account at www.myflorida.com/accessflorida,
• receive email notifications by signing up through your MyACCESS Account, or
• call the ACCESS Customer Call Center at (850) 300-4DCF (4323).
• For more information about Medicaid eligibility and applying for Medicaid, please go to
https://www.myflfamilies.com/medicaid .

Fair Hearings: If you disagree with our decision , you have the right to ask for a hearing before a state hearing
officer. You may be represented at the hearing by a lawyer, relative, friend, or anyone you choose. If you want a
hearing, you must ask for the hearing within 90 days from the date at the top of this notice. You may ask for a hearing
by emailing us at [email protected] ; by making a request online at
https://www.myflfamilies.com/fairhearings ; by writing to us at Appeal Hearings Section, 2415 North Monroe Street, Suite
400-I, Tallahassee, Florida 32303-4190; by calling the call center; or by coming into a DCF office. If you ask for a
hearing before the date your benefits are scheduled to end or change, your Medicaid benefits will continue at the prior
level until the hearing decision; for all other programs, your benefits may continue at the prior level until the hearing
decision. You may be responsible to repay any benefits if the hearing decision is not in your favor. For Medicaid, you
will not be responsible to repay benefits unless we find that you engaged in fraud or an intentional program violation.
Your appeal will be decided within 90 days of your request. For Medicaid, if you have an urgent health care need (one
that would result in serious harm to your health if not treated soon), you can ask for a faster appeal. Proof of your urgent
health care need may be requested.

If you need information about free legal services, call the ACCESS Customer Call Center toll free at (850)
300-4DCF (4323) for a listing of legal services in your area or you can visit www.floridalawhelp.org.

Information on other services that may be helpful to you can be found at

https://www.myflfamilies.com/services/public-assistance .
Local community partner agencies are available to help you apply for services. To find one near you, go to
www.myflorida.com/accessflorida under “Find Us”. You can search by zip code or county.

Other information that may help you:

• To register or update your voter registration, you can visit www.registertovoteflorida.gov or call the ACCESS
Customer Call Center at (850) 300-4DCF (4323)
• Did you earn less than $63,398 in 2023? You may be eligible for an Earned Income Tax Credit up to $7,430. For
more information on where to find free tax assistance in your area call the IRS at 1-800-829-1040.
• You may be eligible to receive monthly discounts on your phone bill through Florida’s Lifeline Assistance
Program. Call your phone company or the Florida Public Service Commission at 1-800-342-3552 for more
information.
• If you need free help obtaining child support, medical support, establishing paternity, or locating your child’s
parent, call the Florida Child Support Program at (850) 488-KIDS (5437).

For Florida Relay 711 or TTY services, call 1-800-955-8771.

Nondiscrimination Policy:
In accordance with federal civil rights laws and U.S. Department of Agriculture (USDA) civil rights regulations and
policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA
programs are prohibited from discriminating based on race, color, national origin, sex (including gender identity and
sexual orientation), religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in
any program or activity conducted or funded by USDA. Programs that receive federal financial assistance from the U.S.
Department of Health and Human Services (HHS), such as Temporary Assistance for Needy Families (TANF), and
programs HHS directly operates are also prohibited from discrimination under federal civil rights laws and HHS
regulations.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large
print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits.
Individuals who are deaf, hard of hearing or who have speech disabilities may contact USDA through the Federal Relay
Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
CIVIL RIGHTS COMPLAINTS INVOLVING USDA PROGRAMS

USDA provides federal financial assistance for many food security and hunger reduction programs such as the
Supplemental Nutrition Assistance Program (SNAP), the Food Distribution Program on Indian Reservations (FDPIR)
and others. To file a program complaint of discrimination, complete the Program Discrimination Complaint Form,
(AD-3027) found online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf , and at any USDA office or
write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy
of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
1. mail: Food and Nutrition Service, USDA
1320 Braddock Place, Room 334, Alexandria, VA 22314; or
2. fax: (833) 256-1665 or (202) 690-7442; or
3. phone: (833) 620-1071; or
4. email: [email protected]

For any other information regarding SNAP issues, persons should either contact the USDA SNAP hotline number at
(800) 221-5689, which is also in Spanish, or call the state information/hotline numbers (click the link for a listing of
hotline numbers by state); found online at: SNAP hotline.

CIVIL RIGHTS COMPLAINTS INVOLVING HHS PROGRAMS

HHS provides federal financial assistance for many programs to enhance health and well-being, including TANF, Head
Start, the Low Income Home Energy Assistance Program (LIHEAP), and others. If you believe that you have been
discriminated against because of your race, color, national origin, disability, age, sex (including pregnancy, sexual
orientation, and gender identity), or religion in programs or activities that HHS directly operates or to which HHS
provides federal financial assistance, you may file a complaint with the Office for Civil Rights (OCR) for yourself or for
someone else.
To file a complaint of discrimination for yourself or someone else regarding a program receiving federal financial
assistance through HHS, complete the form on line through OCR’s Complaint Portal at https://ocrportal.hhs.gov/ocr/ .
You may also contact OCR via mail at: Centralized Case Management Operations, U.S. Department of Health and
Human Services, 200 Independence Avenue, S.W., Room 509F HHH Bldg., Washington, D.C. 20201; fax: (202)
619-3818; or email: [email protected] . For faster processing, we encourage you to use the OCR online portal to file
complaints rather than filing via mail. Persons who need assistance with filing a civil rights complaint can email OCR at
[email protected] or call OCR toll-free at 1-800-368-1019, TDD 1-800-537-7697. For persons who are deaf, hard of
hearing, or have speech difficulties, please dial 7-1-1 to access telecommunications relay services. We also provide
alternative formats (such as Braille and large print), auxiliary aids and language assistance services free of charge for
filing a complaint.
This institution is an equal opportunity provider.