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FOOD STAMP HANDBOOK

Handbook _ ee FORMS AND INSTRUCTIONS __ __ 83-1230 (Cant) 63-1230 STATE FORMS & INSTRUCTIONS (Continued) 63-1230 DFA 377.5 (12/83) Manual information

Question Section Requested EW Action 7 63-503.442 Other Changes A household with individuals living in the home 63-505.54 Disqualified who have been disqualified or who are ineligi- Individuais/ ble allens must report changes for these indi- ineligible viduals. The CWD must determine the affect of Aliens these changes on the household's eligibility or

benefit level.

8 63-504,421 Other Changes if the household has any other changes to re- port, this section is completed. For Yes answers, | be sure that the changes are explained in the Space provided.

9 63-505.531 Temporary The household should explain any changes

Changes which it expects to be temporary.

Certification

Check that the form contains all necessary sig- natures and dates.