FS-1 Received Missing Name, Address or Signature

An application form missing the applicant’s name, address, or a signature (by a responsible household member, authorized representative or the applicant’s guardian/conservator) is not an application. In these situations, staff should attempt to secure the missing information. Attempt to call the applicant if a number is available to obtain missing information. For date of application, see 1120.020.00 Date the Application Is Filed .

NOTE : A “responsible household member” is any adult member of the household, but does not include an adult household member who has a court-appointed guardian or conservator who is required by the court to sign on the household member’s behalf.

Eligibility determinations cannot be made without the applicant’s name, address, and signature at minimum.