[
{
"timestamp": "2026-05-07T22:47:27.423Z",
"authorCommit": "",
"source": "llm",
"commands": [
{
"kind": "addPage",
"id": "page-application-signature",
"title": "Application Information and Signature"
},
{
"kind": "addPage",
"id": "page-household-info",
"title": "Household Information"
},
{
"kind": "addPage",
"id": "page-employment-income",
"title": "Employment and Income"
},
{
"kind": "addPage",
"id": "page-resources-assets",
"title": "Resources and Assets"
},
{
"kind": "addPage",
"id": "page-housing-shelter",
"title": "Housing and Shelter Costs"
},
{
"kind": "addPage",
"id": "page-medical-expenses",
"title": "Medical and Dependent Care Expenses"
},
{
"kind": "addPage",
"id": "page-student-work",
"title": "Student and Work Requirements"
},
{
"kind": "addPage",
"id": "page-authorized-rep",
"title": "Authorized Representative"
},
{
"kind": "addPage",
"id": "page-rights-responsibilities",
"title": "Rights and Responsibilities"
}
],
"explanation": "Add pages"
},
{
"timestamp": "2026-05-07T22:47:27.465Z",
"authorCommit": "",
"source": "llm",
"commands": [
{
"kind": "addGroup",
"pageId": "page-application-signature",
"title": "Application Information and Signature"
},
{
"kind": "addGroup",
"pageId": "page-household-info",
"title": "Household Information"
},
{
"kind": "addGroup",
"pageId": "page-employment-income",
"title": "Employment and Income"
},
{
"kind": "addGroup",
"pageId": "page-resources-assets",
"title": "Resources and Assets"
},
{
"kind": "addGroup",
"pageId": "page-housing-shelter",
"title": "Housing and Shelter Costs"
},
{
"kind": "addGroup",
"pageId": "page-medical-expenses",
"title": "Medical and Dependent Care Expenses"
},
{
"kind": "addGroup",
"pageId": "page-student-work",
"title": "Student and Work Requirements"
},
{
"kind": "addGroup",
"pageId": "page-authorized-rep",
"title": "Authorized Representative"
},
{
"kind": "addGroup",
"pageId": "page-rights-responsibilities",
"title": "Rights and Responsibilities"
}
],
"explanation": "Add groups"
},
{
"timestamp": "2026-05-07T22:47:44.354Z",
"authorCommit": "",
"source": "llm",
"commands": [
{
"kind": "addField",
"id": "application-date",
"groupId": "group-new-192f8be6",
"label": "Application Date",
"fieldType": "date",
"required": true,
"helpText": "The date this application is being submitted"
},
{
"kind": "addField",
"id": "perjury-certification",
"groupId": "group-new-192f8be6",
"label": "I certify under penalty of perjury that all information provided in this application is true and complete to the best of my knowledge",
"fieldType": "boolean",
"required": true,
"control": "checkbox"
},
{
"kind": "addField",
"id": "benefit-use-understanding",
"groupId": "group-new-192f8be6",
"label": "I understand that I must use FoodShare benefits only to purchase eligible food for my household",
"fieldType": "boolean",
"required": true,
"control": "checkbox"
},
{
"kind": "addField",
"id": "false-info-understanding",
"groupId": "group-new-192f8be6",
"label": "I understand that providing false information is subject to prosecution under state and federal law",
"fieldType": "boolean",
"required": true,
"control": "checkbox"
},
{
"kind": "addField",
"id": "rights-responsibilities-ack",
"groupId": "group-new-192f8be6",
"label": "I acknowledge that I have received and understand my rights and responsibilities under the FoodShare program",
"fieldType": "boolean",
"required": true,
"control": "checkbox"
},
{
"kind": "addField",
"id": "verification-authorization",
"groupId": "group-new-192f8be6",
"label": "I authorize the State agency to verify the information I have provided through collateral contacts, computer matches, and other means permitted by law",
"fieldType": "boolean",
"required": true,
"control": "checkbox"
},
{
"kind": "addField",
"id": "applicant-printed-name",
"groupId": "group-new-192f8be6",
"label": "Applicant Full Name (Print)",
"fieldType": "text",
"required": true,
"helpText": "Print the full name of the person signing this application"
},
{
"kind": "addField",
"id": "applicant-signature",
"groupId": "group-new-192f8be6",
"label": "Applicant Signature",
"fieldType": "text",
"required": true,
"helpText": "Digital signature of the applicant or authorized representative. By typing your name here, you are providing your electronic signature."
},
{
"kind": "addField",
"id": "signature-date",
"groupId": "group-new-192f8be6",
"label": "Signature Date",
"fieldType": "date",
"required": true,
"helpText": "Date the application was signed"
},
{
"kind": "addField",
"id": "is-authorized-rep",
"groupId": "group-new-192f8be6",
"label": "Is this application being signed by an authorized representative on behalf of the household?",
"fieldType": "boolean",
"required": true,
"control": "radio"
},
{
"kind": "addField",
"id": "auth-rep-name",
"groupId": "group-new-192f8be6",
"label": "Authorized Representative Name",
"fieldType": "text",
"required": false,
"helpText": "Full name of the authorized representative if different from applicant"
},
{
"kind": "addField",
"id": "auth-rep-relationship",
"groupId": "group-new-192f8be6",
"label": "Relationship to Household",
"fieldType": "text",
"required": false,
"helpText": "How is the authorized representative related to or connected to the household?"
},
{
"kind": "addField",
"id": "auth-documentation",
"groupId": "group-new-192f8be6",
"label": "Authorization Documentation",
"fieldType": "longText",
"required": false,
"helpText": "Describe the documentation provided establishing authority to act for the household (signed statement, power of attorney, court documentation, etc.)"
}
],
"explanation": "Applied changes."
}
]
A digital services project by Flexion