Page 4

REV. JUNE 28, 2011

NEBRASKA DEPARTMENT OF CCS PROGRAM MANUAL LETTER # 53-2011 HEALTH AND HUMAN SERVICES 392 NAC 1-005

1-005 Client Responsibilities: The client is required to:

1. Provide complete and accurate information. State and federal law provide penalties of a fine, imprisonment, or both for persons found guilty of obtaining assistance or services for which they are not eligible by making false statements or failing to report promptly any changes in their circumstances; 2. Report a change in circumstances no later than ten days following the change. This includes information regarding:

a. Change or receipt of a resource including cash on hand, stocks, bonds, money in a checking or savings account, or a motor vehicle; b. Changes in unit composition, such as the addition or loss of a unit member; c. Changes in residence; d. New employment; e. Termination of employment; f. Changes in the amount of monthly income, including:

(1) All changes in unearned income; and (2) Changes in the source of employment, in the wage rate and in employment status, i.e., reduced or increased hours of employment; and 3. Contact the agency for an interview within 30 days of the date of application if notified that an interview is required. {Effective 6/28/11}