Page 159

FOOD STAMP HANDBOOK

Handbook FORMS AND INSTRUCTIONS. __

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued)

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

Food Stamp Notice of Administrative Disqualification Required Form - No Substitutes Permitted Placement - No modification permitted (Manual only), - No modification permitted except those related to EDP require Language - No modification permitted except, on the back, the address request may be modified in counties with state hearing intake Manual). ,

Data Elements - No modification permitted

- No modification permitted except that all data elements

63-1251 (Cont,)

63-1251

DFA 377.7A (3/84)

ments (EDP only}.

for submitting a hearing at the local level (EDP and

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).