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FOOD STAMP HANDBOOK Handbook FORMS AND INSTRUCTIONS 63-1230 (Cont.)

63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230

DFA 377.2 (12/83)

- Check the third box to advise the household where to mail or bring its application. Enter the address.

Check the fourth box if a nonmonthly reporting household must request an application. Enter the name and number of the person the household should call for the application.

Check the fifth box if a PA household whose application is pending must take some action to complete the recertification process. Enter the action which the household must take.

Check the small box in the explanation section (below the bold fine) for all nonmonthly reporting households.

Manual Section(s} Enter the applicable specific manual section(s) for the action(s).

Distribution:

The original and one copy are provided to the household. The second copy is filed in the case record.

CALIFORNIA-DSS-MANUAL-SS issue 645 Issued 2/15/84

(MANUAL LETTER MO. gaia, f. 7 OG