Page 147
Handbook FORMS AND INSTRUCTIONS —__ ___63-1281 (Cont)
63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued) 63-1251 .3 Appendix 3 — Form-Specific Modification Criteria (Continued)
CA 8 (2/84)
Statement Of Facts For Additional Persons (Supplemental Application for Food Stamps and Request for Cash Aid)
Required Form - No Substitutes Permitted Piacement - No modification permitted, Language - No modification permitted.
Data Elements - No modification permitted.
CALIFORNIA-DSS-MANUAL-SS Issue 652]
Issued 2/15/84
as ce my apm