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96 | P a g e October 25 5. LIHEAP case number 6. Reporting Sub-grantee 7. Date the Sub-grantee sent the referral to IHSB.

IHSB, please fill out the following: 1. IHSB Referral to QAD, 2. Referred by IHSB Field Monitor, and 3. Date IHSB sent the referral to QAD.

• IHSB will review the case and determine if a referral to QAD is warranted. • The referral form, along with any supporting documentation, is sent as an Attachment in an email notifying Program Integrity Section; HHSQADIPVS@mt.gov • Program Integrity Section enters the name of the Investigator who will be assigned the case and the date sent to Investigator. • The investigator fills out the remainder of the form as the case is worked. • When the investigator completes the case, the Results of the investigation section are completed, and the form is sent back to Program Integrity Section. • The finalized Referral form is sent back to IHSB. • The Investigator will make a SNAP IPV referral if necessary. • IHSB will report the results of the investigation to the referring Sub-grantee.

5.16 Misuse of Low-Income Home Energy Assistance Program Information Presented are provisions of state law on misuse of public assistance information, including the legal sanctions imposed for improper disclosure and use.

LISTS OR NAMES OF APPLICANT'S FOR, OR RECIPIENT'S OF, PUBLIC ASSISTANCE: It is "unlawful for any person, body, association, firm, corporation or other Sub-grantee to solicit, dis- close, receive, make use of, or to authorize, knowingly permit, participate in, or acquiesce in the use of, any lists or names for commercial or political purposes of any nature, or for any purpose not directly connected with the administration of public assistance." (71-231.2, RCM 1947)

PENALTY: "Any person, body, association, corporation, firm, or other Sub-grantee who shall willfully or knowingly violate any provision... (above) shall be guilty of a misdemeanor and upon conviction shall be punished by a fine of not less than twenty-five ($25.00) dollars nor more than one thousand ($1,000.00) dollars, to which may be added imprisonment in the county jail for any determinate period not to exceed sixty (60) days." (71-231.3, RCM 1947)

VIOLATIONS BY OTHER THAN AN INDIVIDUAL: "If the violation is by other than an individual, the imprisonment may be adjusted against any officer, agent, employee, servant, or other