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FOOD STAMP HANDBOOK

Handbook FORMS AND INSTRUCTIONS 63-1230 (Cont.) 63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230 DFA 285-A2 (12/83) Manual Information Question Section Requested EW Action 10. 63-102(i) Separate lf separate household status is requested 63-300.531 Household by an elderly and disabled individual and 63-402.15 Status spouse because of the individual's inability to purchase and prepare meals separately, determine if it should be granted. Document request in county-use section by checking appropriate box. 14. 63-406 Students If checked yes, apply student eligibility criteria to determine eligibility as a household member. Check applicable box in county- use section. 12. 63-402.1 Roomers and Check the status of each person listed 63-402.2 Boarders here to determine if he/she meets the 63-402.3 definition of a roomer, boarder, or house- hold member. Boarders are ineligible to participate as separate households and may participate as a household member only if requested by the household. Roomers must be separate households. Document status in county-use section. 13. 83-402.4 Residents of Determine if eligible institution. Check 63-402.6 institutions applicable box in county-use section. 63-503.46 63-503,47 63-503.48

14. 63-102(zz) Sponsored if checked yes, determine if individual(s) 63-102(aaa) Aliens is subject to sponsored alien provisions. 63-300.518 Obtain necessary information about 63-403.33 sponsor to determine alien's eligibility and 63-503.53 benefit level,

1BA. 63-501.1 Resources Document resources, making appropriate 63-501.2 (Nonassistance exclusions, Check, if exempt, in the box 63-501.3 households provided, 63-501.4 only) 63-501.7 63-503,44

CALIFORNIA-DSS-MANUAL-SS

Rav. 1356 replaces . issue 2178 _ Effective 2/18/84

(MANUAL LETTER No. 84-13) lo 4 &