Notice of Case Action
ACCESS CENTRAL MAIL CENTER
State of Florida Department
P.O. BOX 1770
of Children and Families
OCALA FL 34478
June 12, 2023 Case: 1390559246 Phone: (727 ) 373 - 1795
Fax : (866 ) 940 - 7126 ACCESS Number: 816492658
Donna Keough
12639 1st Isle Apt 5
Hudson FL 34667
Dear Donna Keough,
The following is information about your eligibility.
Once you receive your case number you can go to [Link]/accessflorida to activate your My
ACCESS Account. You will be able to get case status information. You will also be able to print a temporary
Medicaid card if you are eligible for Medicaid.
We need the following information by June 22, 2023.
*Proof of this month's shelter payments
Other - please see comments below
*PLEASE PROVIDE VERIFICATION OF YOUR LIVING ARRANGEMENT. THANK YOU. *
Requested items with an asterisk (*) must be provided if you are applying for food assistance.
Please return or fax the information to the return address or fax number listed above. If you need help getting this
information, let us know right away.
If you do not contact us or provide the requested information, we will be unable to determine your eligibility. We will
deny your application or your benefits may end.
AE39 FORM : CF-ES 157 08 2008
DCF Services:
For information about your case, you may access your case information quickly and securely:
• through My ACCESS Account at [Link]/accessflorida,
• receive email notifications by signing up through your MyACCESS Account, or
• call the ACCESS Customer Call Center at (850) 300-4DCF (4323).
Fair Hearings: If you disagree with the decision we have made, you have the right to ask for a hearing before a
state hearings 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 by writing, calling the call center or coming into an office within 90
days from the date at the top of this notice. If you ask for a hearing before the effective date of this notice, your
benefits may continue at the prior level until the hearing decision. You will be responsible to repay any benefits if
the hearing decision is not in your favor.
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 [Link].
Information on other services that may be helpful to you can be found at [Link]/programs/access/.
Local community partner agencies are available to help you apply for services. To find one near you, go to
[Link]/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 [Link] or call the ACCESS
Customer Call Center at (850) 300-4DCF (4323)
• Did you earn less than $59,187 in 2022? You may be eligible for an Earned Income Tax Credit up to $6,935. For
more information on were 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:
This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex and in
some cases religion or political beliefs. The U.S. Department of Agriculture also prohibits discrimination based on
race, color, national origin, sex, 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. Persons with disabilities who require
alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign
Language, etc.) should contact the Department of Children and Families where they applied for benefits. Individuals
who are deaf, hard of hearing or 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. To file a
program complaint of discrimination, complete the USDA Program Discrimination Complaint Form , AD-3027, found
online at [Link] , 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: U.S. Department of Agriculture,
Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or (3) email: [Link]@[Link]. For any other information dealing with
Supplemental Nutrition Assistance Program (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: [Link] . To
file a complaint of discrimination regarding a program receiving Federal financial assistance through the U.S.
Department of Health and Human Services (HHS) write: HHS Director, Office for Civil Rights, Room 515-F, 200
Independence Avenue, S.W., Washington, D.C. 20201 or call (202) 619-0403 (voice) or (800) 537- 7697 (TTY).
This institution is an equal opportunity provider.
