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“"EOOD STAMP HANDBOOK ~~ ~ Handbook ___FORMS AND INSTRUCTIONS 63-1230 {Cont,)

63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230 DFA 377.7A (3/84)

Contact Person Enter the name and telephone number the household may contact to ask questions. Distribution:

The original and one copy are provided to the disqualified individual. The second copy is filed in the case record.

Rev. 1390f replaces . CALIFORNIA-DSS-MANUAL-SS Issue 2294 Effective 2/15/84