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Handbook — FORMS AND INSTRUCTIONS 63-1251 (Cont,

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued) 63-1251 -3 Appendix 3 — Form-Specific Modification Criteria (Continued) DFA 377.2 (12/83) Food Stamp Notice of Expiration of Certification Required Form - No Substitutes Permitted Placement - No modification permitted (Manual only). » No modification permitted except those related to EDP requirements (EDP only).

Language - No modification permitted except on the back, the address for submitting a hearing

request may be modified in counties with state hearing intake at the local level (EDP and Manual).

Data Elements - No modification permitted except that any option in Message 3 not provided by the county may be deieted.

~ No modification permitted except (1) any option in Message 3 not provided by the county may be deleted; and, (2) all data elements need not appear on one form; ie@., cornputer prints out only applicable message(s}, but all messages are contained in the computer program (EDP only).

CALIFORNIA-DSS-MANUAL-SS Rev. 1399 replaces Issue 2275 Effective 2/15/84