WITHDRAWING AN APPLICATION
ISSUE DATE: 03/2026
People may withdraw their application for all or specific assistance programs by 1 of the following methods:
● | Oral request. |
OR | |
● | Written statement. |
OR | |
● | Writing "withdrawn" on the Combined Application Form (DHS-5223) (PDF) (CAF) and initialing it. |
OR | |
● | Deselecting the check boxes on the “What Programs is this Person Applying for?” question on page 3 of the CAF for each person, checking the “None” box, and initialing them. |
Advise the client of the right to reapply at any time. Confirm the withdrawal by documenting the withdrawal and the reason for it.
After approving the withdrawal, MAXIS sends a written notice to confirm the withdrawal. Also see 0005.12.21 (Reinstating a Withdrawn Application), 0026.06 (Notice - Approval of Application or Recert.), 0026.15 (Notice of Denial, Termination, or Suspension).
MFIP, SNAP, MSA, GA, HSP:
Follow general provisions.
![]()
![]()
![]()
Report this page