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FOOD STAMP HANDBOOK 63-1251 (Cont.) _____FORMS AND INSTRUCTIONS Handbook

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued) 63-1251 3 Appendix 3 — Form-Specific Modification Criteria (Continued)

DFA 285-C (11/83) Supplemental Application For Food Stamps — Special Medical Deductions Required Form - No Substitutes Permitted Placement - No modification permitted. Language - No modification permitted,

Data Elements - No modification permitted.

CALIFORNIA-DSS-MANUAL-SS Rev. 1395 repiaces Issue 2270 Effective 2/15/84