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BAM 401E 29 of 34 ELECTRONIC BENEFIT TRANSFER ISSUANCE SYSTEM BPB 2026-019 8-1-2026

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• ID Number line must be completed if card was picked up. 4. Review each DHS-61 Manner of Disposition for completeness and accuracy. • Date in Disposition Date column must be completed. • Released to/Address mailed/witnessed by column must be completed as follows: Name of HOH/Protective Payee/FSAR card was released to. Address of HOH/Protective Payee/FSAR if mailed. Signature of witnesses (2), if card is destroyed. 5. If above items do not reconcile, resolve discrepancies, as appropriate. Note: If a release is not supported by a signed DHS-3955-A-EBT, Bridge Card Issuance Log Attachment, the reconciler is to contact the HOH/Protective Payee/FSAR to verify the card was received. 6. If the above items reconcile, sign and date the DHS-61 at the bottom of the form, to indicate reconciliation was completed. Following reconciliation, file the DHS-61 and attachments in a secured location. Documents should be retained for seven years. Over The Counter Issued Bridge Cards A monthly physical inventory and a reconciliation of documents distributed must be made with documents recorded in the local office/district office. The DHS-4351 is used for this purpose. A monthly reconciliation of the DHS-3955-EBT, Bridge Card Issuance Log and the DHS-3955-A-EBT, Bridge Card Issuance Log Attachment must be performed by a supervisor or other employee not involved in the card issuance process.

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Page 29

Official source

BAM 401E 29 of 34 ELECTRONIC BENEFIT TRANSFER ISSUANCE SYSTEM BPB 2026-019 8-1-2026

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• ID Number line must be completed if card was picked up. 4. Review each DHS-61 Manner of Disposition for completeness and accuracy. • Date in Disposition Date column must be completed. • Released to/Address mailed/witnessed by column must be completed as follows: Name of HOH/Protective Payee/FSAR card was released to. Address of HOH/Protective Payee/FSAR if mailed. Signature of witnesses (2), if card is destroyed. 5. If above items do not reconcile, resolve discrepancies, as appropriate. Note: If a release is not supported by a signed DHS-3955-A-EBT, Bridge Card Issuance Log Attachment, the reconciler is to contact the HOH/Protective Payee/FSAR to verify the card was received. 6. If the above items reconcile, sign and date the DHS-61 at the bottom of the form, to indicate reconciliation was completed. Following reconciliation, file the DHS-61 and attachments in a secured location. Documents should be retained for seven years. Over The Counter Issued Bridge Cards A monthly physical inventory and a reconciliation of documents distributed must be made with documents recorded in the local office/district office. The DHS-4351 is used for this purpose. A monthly reconciliation of the DHS-3955-EBT, Bridge Card Issuance Log and the DHS-3955-A-EBT, Bridge Card Issuance Log Attachment must be performed by a supervisor or other employee not involved in the card issuance process.