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"FOOD STAMP HANDBOOK

63-1212 FORMS AND INSTRUCTIONS _ Handbook 63-1212 ACTIVE FEDERAL FOOD STAMP FORMS 63-1212 Form Form and Modification Current Form instruction Policy

Form No. Title Version Designation* Provided Provided FNS-46 Food Stamp Program ATP

Reconciliation Report 10-80 R-NS No No FNS-135 Affidavit of Return or Exchange

of Food Coupons 10-78 R-NS No No FNS-250 Food Coupon Accountability Report 10-78 R-NS No No FNS-259 Food Stamp Mail issuance Report 12-78 R-NS No No FNS-260 Requisition for Food Coupon Books 7-78 R-NS No No FNS-261 Advice of Shipment (Food Coupons} 11-78 R-NS No No FNS-287 Request for Reimbursement or ;

Notification of Return of Unused

Food Coupons for Refund 2-77 R-NS No No FNS-292 Report of Coupon Issuance for

Disaster Relief 8-77 R-NS No No FNS-300 Advice of Transfer (Food Coupons) 6-78 R-NS No No FNS-471 Coupon Account and Destruction

Record 9-81 R-NS No No *Form Designation R-NS Required Form ~ No Substitutes R-SP Required Form — Substitutes Permitted Rec, Recommended Form + Designation Pending

CALIFORNIA-DSS-MANUAL-SS Rev, 1344 replaces issue 2166 Effective 2/15/84

(MANUAL LETTER NO, 84-13) ly \S