Appendix B: Group Living Arrangement Declaration

County Assistance Office Responsibilities

Group Living Arrangement Declaration

../PA 1869.pdf; click to follow link.

Group Living Arrangement Institution Status Notice

../PA 1870.pdf, click to follow link.

Group Living Arrangement Institution Status Notice Supplement

The CAO must, in addition to maintaining its own GLA facility status file, supply a copy of the completed GLA declaration form and a copy of the institution status notice to each of the following:

Division of Federal Programs and Program Management
P. O. Box 2675
Room 224, Willow Oak Building
Harrisburg, PA 17105 - 2675
Attention: SNAP Unit/GLA Determinations

Addresses for FNS Field Offices

Office

Counties Served

Officer In Charge
Food and Nutrition Service, USDA
U.S. Customs House
200 Chestnut Street, Room 600
Philadelphia, PA 19106-2986
(215) 597-4551

Fax: (215) 287-1540

Bucks, Chester, Delaware, Lancaster Montgomery, Philadelphia  

Officer In Charge
Food and Nutrition Service, USDA

1606 Santa Rosa Road, Suite 129

Richmond, VA 23229

Phone: (804) 287-1710

Fax: (804) 287-1726

Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, Mckean, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna,Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York.

Reissued April 6 2016 , replacing March 1, 2012