SNAP Community Partner Stakeholder Feedback

Instructions

1. Fill out all applicable sections.

2. Return to top of page and press "File" and "Print" to print a copy of your feedback for your records.

3. Return to the form and click "Submit" to send electronically to LDH. You don't have to submit your contact information to complete this form, but your phone number and/or email address are very helpful for us if we have any questions about your comment or if we need to follow up to see if an issue you reported has been resolved.