How to Complete and Submit the Alaska SNAP Interim Report Form

If you receive SNAP in Alaska on a 12-month or 24-month certification, the Alaska SNAP interim report is a midpoint check-in that the Division of Public Assistance (DPA) uses to confirm your household still qualifies. It’s due at the sixth month of a 12-month certification or the twelfth month of a 24-month certification, and the completed form must reach DPA by the last working day of that month.¹ Miss it, and your case can close.

Who Has to File

Every active SNAP household in Alaska is expected to complete the interim report partway through its certification period.¹ Federal rules carve out one narrow exception: households in which every adult is elderly or has a disability and no one earns wages are not required to file a periodic report when their certification is 12 months or less.² Everyone else should expect a form in the mail around the midpoint of their certification period.

When the Form Shows Up and How to Get It

DPA mails the interim report before the month it’s due. Don’t fill it out early. Submitting ahead of the reporting month can cause processing errors.¹

You can also complete the report online through the Alaska Connect Client Portal, accessible via myAlaska at my.alaska.gov.³ A direct link to the digital form is posted on DPA’s SNAP page.¹ If you can’t get online, paper copies are available at any DPA district office.

What the Form Asks

The report is organized into three steps. Working through them in order is the fastest way to avoid having it sent back incomplete.

Step 1: Personal and Shelter Information

This section comes pre-printed with your name, address, and case details. Review every field and correct anything that’s changed: phone number, mailing address, physical address. Below that, report your current monthly shelter costs — rent or mortgage, property taxes and homeowner insurance if you own, and a checkbox for each utility you pay (telephone, trash, sewage, water, electric, gas).

The utility boxes aren’t a formality. Alaska uses a shelter and utility deduction capped at $1,189 per month for most households, with no cap for households that include an elderly or disabled member.¹ Checking fewer utilities than you actually pay can shrink your benefit.

Step 2: Reporting Changes

Step 2 is the core of the report. It has six subsections, each covering a different type of change since your last certification or prior report:

(A) Household members. Anyone who moved in or out, with their name, relationship to you, and date of birth.
(B) Earned income. Any change in gross (pre-tax) monthly wages for a working household member, including new jobs, lost jobs, and changes in hours or pay rate.
(C) ABAWD work hours. If anyone subject to the work requirement for Able-Bodied Adults Without Dependents is not working or volunteering at least 20 hours per week, list their weekly hours.
(D) Unearned income. Changes of more than $100 per month in Social Security, unemployment, pensions, or similar payments.
(E) Child support paid. Any change in a monthly child support obligation anyone in the household pays.
(F) Lottery or gambling winnings. Winnings of $4,500 or more before withholdings, with the date and amount.

If nothing in a subsection has changed, leave it blank. You don’t need to re-list information that has stayed the same.

Step 3: Signature and Date

Sign and date the form. An unsigned report is treated as incomplete, which DPA may handle the same way as a missing report.

Documents to Have Ready

DPA will verify what you report, so attaching proof upfront keeps the file moving. Gather these before you sit down with the form:

Pay stubs from the most recent four weeks for every working household member, showing gross earnings.
Self-employment records — ledgers, receipts, or tax records showing monthly net profit.
Benefit statements or award letters for Social Security, SSI, unemployment, pensions, or other unearned income.
Court orders or payment histories for any change in child support paid.
A new lease, mortgage statement, or rent receipt if shelter costs have changed.
Recent utility bills, especially if you moved or added a utility since last certification.

Households with elderly or disabled members can also report out-of-pocket medical expenses over $35 per month, including prescriptions, insurance premiums, and medical transportation, to potentially increase their benefit.¹ Attach receipts or billing statements for anything you want counted toward that deduction.

How to Submit It

DPA accepts the completed report through several channels. Pick whichever is easiest, and keep a record of your submission.

Online. Log in to the Alaska Connect Client Portal through myAlaska (my.alaska.gov). You can complete the digital form and upload supporting documents. DPA also runs a separate Secure Document Upload Portal for pay stubs, IDs, bills, and other paperwork.⁴⁵
Fax. Statewide: 888-269-6250. Anchorage area: 907-269-6520.⁵
Mail. Send the form and documents to your regional DPA office. The Juneau mailing address is PO Box 110642, Juneau, AK 99811-0642.⁵
In person. Drop it off at any DPA district office. Locations include Anchorage (4001 Ingra Street, Suite 131), Fairbanks (675 7th Avenue, Station E), and Wasilla (855 W. Commercial Drive), among others.⁵

If you fax or mail the form, keep the confirmation page or mailing receipt. Disputes about whether DPA received the report on time are easier to resolve with proof of the submission date.

The Deadline and What Happens If You Miss It

The completed report must reach DPA by the last working day of the month in which it’s due. For a 12-month certification, that’s the last business day of the sixth month.¹

Miss it and federal rules set off a chain of consequences. DPA first mails a reminder giving the household 10 additional days to submit a complete report. If the form arrives in that window, benefits continue, though the next month’s issuance may be delayed by up to 10 days. If the household still doesn’t respond, DPA terminates participation.²

Once a case closes, reopening it typically means a new SNAP application, a fresh eligibility interview, and full documentation again. That process can take up to 30 days, and there’s often a gap in benefits that cannot be recovered. Filing a complete report late but before the end of the issuance month may let DPA reinstate the case without starting over, but the agency isn’t required to do so.² The safest move is to submit as soon as the form arrives.

After You Submit

An eligibility technician reviews what you reported against the attached documents. If something is missing or unclear, DPA will reach out by mail or phone. Respond quickly, because the processing clock pauses until the agency has what it needs.

Once the review is done, DPA mails a notice of action explaining any adjustment to your monthly allotment. Higher income may lower it; a new shelter cost or medical expense may raise it. The notice shows how the new amount was calculated and the effective date.

If You Disagree With the Result

You can request a fair hearing if you disagree with the adjustment. Requests can be submitted by mail to PO Box 240808, Anchorage, AK 99524, by fax at 907-644-8126, by email at fairhearings@gainwelltechnologies.com, or by phone.

Federal rules let you keep receiving your current benefit while the appeal is pending, as long as you file the hearing request before the effective date of the reduction or within 10 days of the date DPA mails the notice, whichever is later. If you lose the hearing, DPA can collect the difference as an overpayment, so weigh that risk before asking for continued benefits during the appeal.

1
State of Alaska Department of Health. Supplemental Nutrition Assistance Program (SNAP)
2
eCFR. 7 CFR 273.12 – Reporting Requirements
3
State of Alaska Department of Health. Division of Public Assistance
4
myAlaska. myAlaska
5
State of Alaska Department of Health. Division of Public Assistance (DPA) Offices