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SNAP CERTIFICATION MANUAL – APPENDIX A Arkansas Department of Human Services Division of County Operations DC0-1 - DCO-70 List of SNAP Forms List of SNAP Forms SNAP MANUAL 10/01/18 Form Number Form Name Revision Date Use How to Access Form Form Fields DC0-1 Notice of Action Sept-18 • Manual notification of application approval when automated notice is not appropriate. • Request for information. • For TEA, notice that benefits will be held. • Advance notice of adverse action. • Manual notification of closure or change in benefits when an automated notice is not appropriate. DHS SHARE Spanish form on DHS SHARE Order from the warehouse. Yes DCO-12 Verification of Social Security Enumeration May-08 • Serves as verification of application for an SSN. • Notifies SSA of the application for an SSN. • Used by SSA to notify DHS of the status of the application for an SSN. DHS SHARE Order from the warehouse. NA DCO-19 SNAP Disqualified Recipient Report Aug-04 • Used by county office to report SNAP disqualifications to the central office, SNAP Section. • Used by central office, SNAP Section to enter information to the national Disqualified Recipient Information System. DHS SHARE Yes DCO-29 Quality Control Error Response June -07 Used by the county office to provide information to the central office about any QA error case discovered. DHS SHARE Yes DCO-70 Check Verification Aug-85 Used by the county office to verify checks received by household. DHS SHARE ONLY No