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Jefferson County Human Services is trying to reach you.
We’ve received returned mail regarding your SNAP, Medicaid, or cash assistance case and need to update your mailing address to ensure you continue receiving important information about your benefits. If you have a Medicaid case, please note that your case could close if we are unable to locate you. Please complete the information below or call our Customer Service Center at 303-271-1388 to update your address. Thank you!
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Case Number (leave blank if you are unsure)
MAILING Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHYSICAL Address - if different from above
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Secondary Phone Number (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
example@example.com
Submit
Should be Empty: