Page 136

83-1230 (Cont) FORMS AND INSTRUCTIONS __ Handbook

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

NA 960Y (1/84) (Instructions Revised 4/6/84)

Food Stamp benefits may not be reduced, suspended, or terminated based on this reminder notice if the household submits a complete CA 7 but fails to provide all other tequested verification/ information. A timely notice of adverse action must be provided to the household before the

adverse action is taken. (See the special instructions in the All-County Letter transmitting this material.)

Penalty (Cash Aid Only). Check this box if the Cash Aid recipient is normally entitled to the earned income disregards.

Distribution:

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

(MANUAL LETTER NO. 84.12) ne

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Page 136

Official source

83-1230 (Cont) FORMS AND INSTRUCTIONS __ Handbook

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

NA 960Y (1/84) (Instructions Revised 4/6/84)

Food Stamp benefits may not be reduced, suspended, or terminated based on this reminder notice if the household submits a complete CA 7 but fails to provide all other tequested verification/ information. A timely notice of adverse action must be provided to the household before the

adverse action is taken. (See the special instructions in the All-County Letter transmitting this material.)

Penalty (Cash Aid Only). Check this box if the Cash Aid recipient is normally entitled to the earned income disregards.

Distribution:

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

(MANUAL LETTER NO. 84.12) ne