Page 154

“FOOD STAMP HANDBOOK 63-4281 (Cont) FORMS AND INSTRUCTIONS

Handbook

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued)

3 Appendix 3 — Form-Specific Modification Criteria (Continued)

Food Stamp Notice of Action

Required Form - No Substitutes Permitted

Placement - No modification permitted (Manual only}, - No modification permitted except those related to EDP requirements {

Language - No modification permitted except that on the back, the address

63-1251

DFA 377.1 (12/83)

EDP only).

for submitting a

hearing request may be modified in counties with state hearing intake at the local

level (Manual only}.

- No modification permitted except (1) on the back, the address for submitting a hearing may be modified in counties with state hearing intake at the local! level: {2) refer-

’

ences to “month” may be modified to accommodate a high frequency payment system; and (3) message endings may be modified to accommodate the inclusion of a

budget computation (EDP only).

Data Elements - No modification permitted except that each section (Approval, may be printed as its own form (Manual only).

- No modification permitted except that all data elements

Denial, Pending)

need not appear

on one form; i.e., computer prints out only applicable message(s), but all

messages are contained in the computer program (EDP only).