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Handbook FORMS AND INSTRUCTIONS ss «83-1230 (Cont)
63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230 DFA 377.78 (3/84)
Manual Section
Enter the applicable specific manual section(s} for the above action(s).
Contact Person
Enter the name and telephone number the individual may contact to ask questions. Distribution:
The original and one copy are provided to the individual. The second copy is filed in the case record.
Rev. 1390k raptaces : CALIFORNIA-DSS-MANUAL-SS Issue 2228 Effective 2/15/84