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MS 0110

(3)

to the DCBS office. The replacement check has a different check number and date of issuance.

5. Once the form is completed and signed, mail the original version to:

Division of Family Support

Family Self-Sufficiency Branch

KTAP Section

275 East Main St., 3E-I

Frankfort, KY 40621

Scan the form into ECF. Copy versions of the form cannot be used to request a replacement.

6. When form PAFS-60 is received by FSSB, the status on the Update Benefit Status screen will be changed to Stopped and a replacement will be requested from Treasury. Once Treasury has replaced the check, FSSB will update the status to Replaced and mail the check to the DCBS office for the individual to pick up. CHK-1, Notice of Replacement Check, will be system- generated, informing the individual that the replacement has been processed and can be picked up at the DCBS office. When the individual picks up the check, form PAFS-62, Local Office Check Log, must be completed and form PAFS-62, Sup. A, Affidavit of Check Receipt, must be signed.