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Handbook ___ FORMS AND INSTRUCTIONS 83-1230 (Cont,

63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230

DFA 377.78 (3/84)

Form instructions {for CWD}

FOOD STAMP REPAYMENT NOTICE

Purpose:

The DFA 377.7B is used by the county to notify an individual that he/she must repay food stamps which were overissued. Collection action is generally initiated against the household which received the overissuance. lf household membership has changed since the overissuance occurred, collection action is initiated against either {1} the household containing a majority of the individuals who were household members at the time the overissuance occurred; or, (2} if the household con- taining a majority of the individuals cannot be located, the household containing the head of house- hoid at the time the overissuance occurred. For sponsored alien households, collection action is initiated against the alien household, the sponsor, or both, as appropriate.

This notice is initially sent at the same time as the Food Stamp Repayment Agreement, DFA 377.7C, and is sent again if the individual fails to make repayment as agreed. The DFA 377.7B and DFA 377.7C are also sent at 30-day intervals to individuals who.are not currently participating in the Program and to individuals whose overissuance resulted from an administrative error. For these individuats, allotment reduction cannot be invoked and repayment notices are sent until repayment is made or the criteria for suspending collection action are met.

The back of the DFA 377.7B explains the individual’s and/or household's right to request a state hearing. The household against whom collection action has been initiated for an intentional program violation may request a state hearing on the amount owed only if a state hearing was not held in conjunction with the administrative disqualification hearing. If the household requests a hearing because of an allotment reduction invoked by the county as a result of the household's failure to re- pay as agreed an inadvertent household error claim or an intentional program violation claim, the reduction will not be delayed pending the results of the hearing.

NOTE: The CWD should attempt to contact the individual to discuss the terms of repayment prior to sending the first DFA 377.7B.

Preparation:

The DFA 377.7B should be completed and sent to the individual against whom coilection action is initiated.

Complete an original and two copies of the DFA 377.7B entering the following identifying informa- tion:

- Name and mailing address of individual against whom collection action is initiated - Case name

- Case number

- Worker number

- District (if appiicabie)

- Date of Notice

Rev. 1390i replaces : CALIFORNIA-DSS-MANUAL-SS issue 2227 Effective 2/18/84