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

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued) 63-1251

.3 Appendix 3 — Form-Specitic Modification Criteria (Continued)

DFA 377.5 (12/83) Food Stamp Household Change Report

Required Form - No Substitutes Permitted Placement - No modification permitted. Language - No modification permitted.

Data Elements - No modification permitted.