Page 39

63-1230 STATE FORMS & INSTRUCTIONS (Continued)

63-1230 DFA 285-A2 (12/83)

Manual

Question Section

Information Requested

EW Action

3. (Cont.)

63-402.1

63-402.9 Strikers

Delete from the household any individual whose U.S. citizenship is questionable and verification is not provided. Count the resources and a prorata share of the income of an ineligible alien or questionable citizen as available to the household. Relationship — identify the ages and relationships of all persons listed in 3 to determine eligibility as a household member. The application provides only a key to the relationships of individuals in the home and the subject should be pursued to the extent necessary in the interview to determine househoid composition.

Note: Information is required on ail persons living in the home in order to determine who should be considered a household member and if there are nonhousehold ‘members whose income and resources should be considered available to the house- hold. Once the worker clearly determines that an individual does not fall into either of these categories, collection of information on this individual cannot be further pursued.

lf checked yes, enter date househoid member went on strike. Two separate eligibility determinations must be made; one based on circumstances immediately prior to involvement in the strike action, and one based on current circumstances.

Issue 2176

Rev. 1354 replaces