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COMBINED MANUAL

ISSUE DATE 08/2020

AGENCY RESPONSIBILITIES FOR CLIENT REPORTING

0007.12

MAXIS provides a Household Report Form (DHS-2120) (PDF) or a Combined Six-Month Report (CSR) (DHS-5576) (PDF) and a return envelope (DHS-824B) to clients subject to monthly or Six-Month reporting.

Require only 1 report form from clients who report for more than 1 program. One report form with signatures for 2 separate cash assistance cases who receive SNAP together covers both cash assistance cases and the SNAP case.

Assist people who need help to complete a report form.

Give the following to all clients subject to scheduled reporting at intake, recertification, or when they must begin scheduled reporting:

● An explanation of the purpose of scheduled reporting and prospective or retrospective budgeting.

● An explanation of how to complete and return the HRF/CSR.

● An explanation of the verifications they must submit with the report form and how to get those verifications.

● A toll-free telephone number to ask questions and get help to complete the report form. The county must accept collect calls if the county does not have a toll free phone number.

MFIP: Give all units subject to scheduled reporting the Reporting Responsibilities for MFIP Households (DHS-2647) (PDF).

Counties may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).

DWP: Counties may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).

SNAP: It is required to give and review with clients the Supplemental Nutrition Assistance Program Reporting Responsibilities (DHS- 2625) (PDF) at application and recertification. See 0005.12.12.01 (Forms/Handouts for Applicants), 0009.06 (Recertification Process).

Counties must act on all changes within 10 days of the date the change was reported, regardless of whether the unit was required to report the change during their certification period. The action taken depends on the change, which could include, but is not limited to, requesting verification and adjusting eligibility and/or benefits as needed. The timeline for when benefits are adjusted depends on the change and when verification is returned. See 0008.06.01 (Implementing Changes - Program Provisions), 0026.12.03 (10 Day Notice), 0026.12 (Timing of Notices), 0002.31 (Glossary: Honoraria...), 0007.15.03 (Unscheduled Reporting of Changes - SNAP), 0026.12 (Timing of Notices).

MSA, GA, GRH: Counties may give the Change Report Form (DHS-2402) (PDF) to units who report monthly.