Page 160

FOOD STAMP HANDBOOK §3-1251 (Cont) FORMS AND INSTRUCTIONS Handbook

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued) 63-1251 -3 Appendix 3 — Form-Specific Modification Criteria (Continued) DFA 377.78 (3/84) Food Stamp Repayment Notice 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 (Manual only}.

- No modification permitted except that all data elements need not appear on one form; i.e., computer prints out only applicable-messagets), but all messages are contained in the computer program (EDP only).

CALIFORNIA-DSS-MANUAL-SS Rev. 14006 replaces Issue 2279 Effective 2/15/84

we ty ent ome. ee