My SNAP Produce Rewards are Missing

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Data will be used by Department of Health staff to respond to your request. For questions please email SNAP Produce Rewards.

Information collected via this form may be subject to release in accordance with RCW 42.56 (Public Records Act).

What is your name?
What is your Email?
What is your phone number?
What is the name of the store where you made the qualifying purchase?
What is the location of the store where you made the qualifying purchase?
Upload an image of the receipt for the qualifying purchase.
 
I uploaded an image of my receipt.