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FOOD STAMP HANDBOOK

§3-1230 (Cont.) __ FORMS AND INSTRUCTIONS ee Handbook 63-1230 STATE FORMS & INSTRUCTIONS (Continued) ; 63-1230 DFA 377.5 (12/83) Manual Information

Question Section Requested EW Action

5B 63-505.513 Address Change Hf the household moved, this section and (Move) sections 5C and 5D are completed.

5c 63-401 New Address/ if the household answered Yes to 5A and/or 5B 63-505.513 Phone Number this section is completed. Check that the house-

hoid’s mailing address and/or residence are still in the county.

5D 63-300.514 Shelter Cost A household which moves must report any re- 63-502.2 Changes Sulting changes in shelter costs. For a Yes 63-502.35 answer to 5D, any changes should be reported 63-502.353 in section 5D1 and/or 502. Verification of 63-502,36 housing costs must be provided when they 63-503.25 change. Verification of actual utility costs must 63-505.513 be provided when they change as a result of a

change in residence. Verification of entitlement to the standard utility allowance (SUA) is re- quired when a household claiming the SUA moves.

For a Yes answer to 5D3 the household must provide actual utility costs paid by the food stamp household. The CWD must determine which information should be used for the de- duction (SUA, prorated SUA, actual costs bil- jed, actual costs paid) based upon a review of the sharing relationship.

6 63-300.52 A household whose dependent care expenses 63-502.34 change will complete this section. For a Yes 63-503.25 answer check that ail required information and 63-505 .522 verification is provided,

CALIFORNIA-DSS-MANUAL-SS Issue 652 Issued 2/15/84

(MANUAL LETTER NO, 84-14) [.4f