Welcome to the Online Pandemic-EBT Application

# Social Security number is not required to complete the application, but it is required to create your PIN to access your PEBT benefits. Please complete ALL fields as indicated.

Please review your information carefully before clicking the Proceed button. You will not be able to update this later.

Step 1: Parent Identification

Parent Social Security Number #
Parent Last Name
Parent First Name
Parent Date of Birth (MM/DD/YYYY)
Mailing Address Zip Code
Phone Number