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FOOD STAMP HANDBOOK tiandbook _. EORMS AND INSTRUCTIONS 63-1230 (Cont.)

63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230

DFA 285-A1 (11/83)

Form Instructions {for the Eligibility Worker}

APPLICATION FOR FOOD STAMPS — Part 1

Purpose:

The DFA 285-A1 is Part 1 of the food stamp application form completed by all households when first applying for food stamps. The DFA 285-A1 is also completed by nonmonthly reporting households at recertification. Part 1 is used to initiate the application process and to identify households requiring expedited service. To complete the application process, the househoid must also complete a DFA 285-A2.

Preparation: ist Section (Applicant Identification} Manual Sections: 63-300.3, 63-301.1

An application is considered to be filed when it is received with the following information by the appropriate CWD office:

1. Applicant's name. 2. Applicant's address. 3. Household member or authorized representative signature.

When an application with the above information is received, enter the date of receipt in the space provided. This date begins the 30-calendar-day period during which an eligible household must

be given the opportunity to participate, unless a CA-1 was completed before this date. in this case the date of the CA-1 begins the 30-calendar-day period.

2nd Section (Expedited Service}

Manual Sections: 63-301.5, 63-5034

lf the applicant completes this section, review the responses in accordance with the following Expedited Service Eligibility Review table to determine whether the applicant should be referred

for expedited service. The questions must be reviewed in the order prescribed by the table or an inaccurate determination may be made.

CALIFORNIA-DSS-MANUAL-SS Issue 638 Issued 2/15/84

(MANUAL LETTER NO, 84-13) lo Bf