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1075 Chapter 7:Worker guides • Section 2: SNAP worker guides (07/2026) Form # Title/Use Paper Forms server PDF fill in SNP 069 SNAP Periodic Report form. For cases in a 12-month cert, the report will be sent on the 1st of the 5th month. For cases that are in a 24-month certification with earned income, the report will be sent on the first of the 5th, 11th, and 17th month. For cases in a 24-month certification without earned income, the report will be sent on the 11th month. The form is due back, completed and signed by the end of the month it is sent. X DHS 853 Simplified Reporting System (SRS) Used by individuals in SRS to report changes at times other than the Periodic Report. Send a new DHS 853 to the individual for future change reporting each time one is submitted to ODHS|OHA. X X DHS 943 Change Report System (CRS) Used by CRS individuals to report all changes. Send a new DHS 943 to the individual for future change reporting, each time one is submitted to ODHS|OHA. X DHS 854 Simplified Reporting System for Able-Bodied Adults Without Dependents (ABAWD) Change report explaining the requirements of SRS for ABAWDs who reside in areas applying the SNAP time Limit (SNAP-e.19) only. It explains what information is needed and how it is used to calculate benefits for cases containing an ABAWD who is subject to the SNAP time limit. X X DHS 856 Transitional Benefit Alternative Pamphlet explaining the requirements of TBA, what information is needed and how it is used to calculate benefits. X X DHS 7294 Notice of Income and Benefit Calculation Notice to the individual about how income was averaged or anticipated or counted. X X X Employment and Training (E&T) forms