How to Complete Form FNS-252-2

Click here for FNS-252-2 PDF

Part 1 – Meal Service Types

• RMP Restaurant* applicants will select Private For-Profit Restaurant and indicate whether or not it is a franchise.

*Restaurant is defined as a private for-profit establishment where meals are sold and served to customers, including in store deli’s and food trucks.

Part 2 – Sponsoring Organization or Business

• Enter store information (also included as Site #1 in Part 3), or
• Enter corporate information if the restaurant is owned by a corporation.

Part 3 – Specific Site Information

• Must be filled out completely for each location including the telephone number.  This telephone number will print on the bottom of EBT receipts.
• Include store number of franchise under Site Name.  (E.g.: Taco Bell #4217)
• If there are more than three sites, the applicant may make additional copies of page two to report all restaurants or they can create a Word or Excel file that contains all the required information for each location.
• Manager information would be entered in this section for large chains.
• Group Living Arrangement does not apply to the RMP.

Part 4 – Ownership Information

• Include all owners/officers and their spouses.
• Home addresses are required.
• A photo ID and verification of Social Security Number are required for all owners/officers and their spouses.

Note: Elements of Part 4 including restaurant name, location, days of operation, and meals served, will be gathered for use in an informational listing.  This listing will be distributed to recipients and posted on-line.

Part 5 – Business Information

• All questions must be answered.
• Provide the bank information you will be using for SNAP payment deposits.

Part 6 – Agreement and Signature Block

• Original Signatures of all owners is required.  (Include additional copies of page 4 as needed.)

Section A – Private For-Profit Restaurant

• Details all Required Documentation including:
  • Copy of a government issued photo identification card and a copy of a Social Security card, or other verification of a Social Security Number (e.g.: tax form) for:
    • all owners/partners
    • all officer(s) of private corporations

Note: Above documentation is not required for publicly-owned corporations.

• • Copy of a valid business license.  (A health permit or business license is required for each location.  It should be current and have the correct address of the location and correct ownership.)