Download Form Option

FNS requires that retailers be provided with the option to manually download, complete, and submit their Retailer Attestation Form.

This form serves as a formal attestation that, as a Supplemental Nutrition Assistance Program (SNAP) Authorized Retailer, you understand and agree to comply with the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) SNAP requirements — specifically the new SNAP food restrictions on candy, energy drinks, soft drinks, and sweetened beverages in South Carolina — as well as any approved internal compliance policies and training obligations.

This form must be emailed to the Retailer Attestation Mailbox at HFC_Attestation@dss.sc.gov no later than July 3, 2026. Failure to submit this form will result in compliance warnings and other procedures in accordance with 7 CFR Part 278 – Participation of Retail Food Stores, Wholesale Food Concerns, and Insured Financial Institutions.

Download Form

Online Form

This form serves as a formal attestation that, as a Supplemental Nutrition Assistance Program (SNAP) Authorized Retailer, you acknowledge and agree to comply with all U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) SNAP requirements. This includes adherence to South Carolina’s newly implemented restrictions on the sale of candy, energy drinks, soft drinks, and sweetened beverages to SNAP participants, as well as compliance with any approved internal policies and mandatory training obligations.

For more detailed information, visit   https://dss.sc.gov/assistance-programs/snap/sc-healthy-food-choice-project/

Attestation Statement

• I have reviewed and fully understand all USDA SNAP retailer rules and regulations, including the guidelines on prohibited activities and eligible food items.
• I acknowledge that SNAP benefits may only be used to purchase eligible food items, and that exchanging SNAP benefits for cash, credit, or ineligible products is strictly prohibited.
• All personnel engaged in SNAP transactions will receive compliance training prior to handling SNAP payments and will continue to receive annual training for the duration of the demonstration project/waiver.  Training records will be retained for a minimum of three years.
• The retailer will maintain:
  • Complete and accurate records of inventory, SNAP transactions, and training logs.
  • Transparent and secure EBT point-of-sale (POS) systems with appropriate item restrictions.
• I understand that any suspected SNAP violations or irregularities will be reported promptly to USDA/FNS or the appropriate authorities.
• I understand that violations of SNAP regulations may result in fines, program disqualification, and/or potential criminal prosecution.
• The retailer will fully cooperate during all USDA audits, investigations, and site visits.
• I acknowledge that the SNAP retailer is responsible for any costs related to modifications and/or upgrades of the POS system necessary to ensure compliance with waiver requirements.

Retailer attests it will adhere to the revised SNAP waiver restrictions and requirements, by signing below:

I attest that the information provided is true and accurate to the best of my knowledge, and that I agree to comply with the above conditions as a participating SNAP Retailer. Furthermore, I confirm that I am authorized to submit this attestation form on behalf of the retailer and that this attestation applies to all retail store locations in South Carolina.