Page 161

FOOD STAMP HANDBOOK Handbook FORMS AND INSTRUCTIONS

63-1254 (Cont.}

63-1251 FORM MODIFICATION POLICY — APPENDICES (Continued)

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

Food Stamp Repayment Agreement Required Form - No Substitutes Permitted Placement - No modification permitted.

Language - No modification permitted.

Data Elements - No modification permitted.

63-1251

DFA 377.7C (3/84)