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FOOD STAMP HANDBOOK”

§321230 (Cont) FORMS AND INSTRUCTIONS Handbook

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

DFA 285-A2 (12/83}

Manual information Question Section Requested EW Action 1. 63-401 Head of Check that the applicant's residence is in Household’s the county. Name and Address 2, 63-1 02(jij)(3) Previous Determine if first-month benefits should 63-503.3 Participation be prorated and if Prospective budgeting is appropriate, Determine if any individual is participating in an existing certified household. 3. 63-402.2 Household SSN — Delete from the household any 63-402.7 Composition individual refusing to comply with the 63-404 Social Security Number requirements. (Note 63-503.442 exception for expedited service.) Count the resources and a prorata share of the income of this individual(s) as available to the household. 63-102(i) Sixty/Disabled — Note if any household 63-409.112 member is age 60 or older, or will 63-502.3 become age 60 in the month of application, 63-503.3 or is receiving disability or blindness payments under Title If of the Social Security Act, and document thata DFA 285-C was given to the household, Allow excess shelter costs and medical deductions, and use the net income sligibility test for any household with such a member, 63-300.512 Alienage/ Citizenship — Note if any 63-300.532 individual is an alien and document the 63-403 type of verification provided to determine 63-503,442 the alien's eligible status. Delete from the household any individual who is unable to provide acceptable documentation of alien status. Note if a CA-6 was completed by the household and sent to INS. CALIFORNIA-DSS-MANUAL-SS Rev, 1853 replaces Effective 215/84