SNAP – Referrals Staff Name* First Last Work Location CountyColumbiaCumberlandJuniataLebanonMifflinMontourNorthumberlandPerrySnyderSomersetUnionWIC PID #* Client Name First Last County of ResidenceSelect OneColumbia CountyCumberland CountyJuniata CountyLebanon CountyMifflin CountyMontour CountyNorthumberland CountyPerry CountySnyder CountySomerset CountyUnion CountyAdams CountyAllegheny CountyArmstrong CountyBeaver CountyBedford CountyBerks CountyBlair CountyBradford CountyBucks CountyButler CountyCambria CountyCameron CountyCarbon CountyCentre CountyChester CountyClarion CountyClearfield CountyClinton CountyCrawford CountyDauphin CountyDelaware CountyElk CountyErie CountyFayette CountyForest CountyFranklin CountyFulton CountyGreene CountyHuntingdon CountyIndiana CountyJefferson CountyLackawanna CountyLancaster CountyLawrence CountyLehigh CountyLuzerne CountyLycoming CountyMcKean CountyMercer CountyMonroe CountyMontgomery CountyNorthampton CountyPhiladelphia CountyPike CountyPotter CountySchuylkill CountySullivan CountySusquehanna CountyTioga CountyVenango CountyWarren CountyWashington CountyWayne CountyWestmoreland CountyWyoming CountyYork CountyPhone NumberEmail Contact Method Preference Call Text Email Preferred Spoken Language, if not English: Notes: Δ
