Page 42

83-1230 (Cont)

FOOD STAMP HANDBOOK

FORMS AND INSTRUCTIONS

Handbook

63-1230 STATE FORMS & INSTRUCTIONS (Continued)

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

Manual Information Question Section Requested EW Action 15B. 63-501.51 Motor Vehicles Evaluate vehicles for resource exemption, (Nonassistance Enter in the space provided the source used households for determining vehicle valuation. Document only) valuation in county-use Section A. For ail Ronexempt vehicles, compute values in Section B. in the space provided, identify vehicle by entering the appropriate number. 63-409.21 Resource Enter in the space Provided the total resource 63-409.22 - Eligibility amount. Determine if resources exceed 63-501.3 Test Maximum — Resource Standard. Check 63-501.8 (Nonassistance applicable box. Households in which all households members receive AFDC, are food stamp only) resource eligible. If resources exceed standard, deny application, 116A. 63-300.511 Wages For each source of earned income, check if 63-402.92 exempt in the box provided. Also for each 63-502.1 source, note the date and amount of pay stubs 63-502.2 viewed, Document in the county-use section 63-503.212 whether or not income is considered 63-503.22 anticipated or from a terminated source for 63-503,23 Purposes of the budget caiculation. 63-503,24 63-503.4 Note: The greater of either the income that a striking househoid member would receive if not on strike or the strike benefits Currently being received should be included, 16B. 63-300.511 Seif- Compute earned: income from self-empioy- 63-502.1 employment ment using cost and income information 63-502.2 provided by the household, 63-503.41

CALIFORNIA-DSS-MANUAL-SS

Rev. 1357 replaces Issue 2178

Effective 2/15/84

(MANUAL LETTER NO. 84-13) |p U5