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63-1230 STATE FORMS & INSTRUCTIONS (Continued)

FORMS AND INSTRUCTIONS

Handbook

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

Manual Information Question Section Requested EW Action 19, 63-300.516 Utilities indicate if the household elects actual or 63-502.353 standard allowance for utilities by checking 63-502.36 the appropriate box in the county-use 63-503.25 section. A household is eligible for the standard utility allowance if it is billed separately for heating and cooling fuel. A household is entitled to the standard tele- phone deduction if it is billed separately for a telephone and is not entitled to the standard utility allowance. Document in the county- use section verification of client utilities. Enter in the space provided total utility costs to be used in the budget. 20. 63-502.2 Vendor Determine if any such payments should be 63-502.36 Payments/ excluded from the household income. 63-503.25 Shared Determine if housing and/or utility costs Living should be prorated. Check the appropriate Expenses box to indicate if the SUA is prorated. 21, 63-102(fff) Migrant Determine if household is exempt from retro- 63-505.21 Farmworkers spective budgeting. Document in county-use 63-505.221 section. 22, Ethnic Circle appropriate code in the county-use Origin and section for ethnic origin and primary Primary language. Language 23. 63-504.712 Prepared Determine if any household member is 63-504.72 Meals eligible to receive delivered meals or to use a communal dining facility, Mark the house- hold identification card accordingly. 24. 63-402.6 Authorized include the name of the authorized 63-504.74 Representative representative on the household identi- 63-504,711 fication card.

Issue 642

IRAARIDIAL Petre arn ma ams Fie’ ty