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1245 (07/2026) Chapter 8: Examples • Chapter 8: Examples Janelle comes in for an intake and states that she was injured on an escalator and is waiting for a settlement. The worker explains that she would need to complete the Non-Vehicle Related Personal Injury (MSC 0451 NV) form. She refuses to fill out the form. SNAP This does not apply to the SNAP program. TANF The worker would deny the application. ERDC This does not apply to the ERDC program. REF The worker would deny the application. MSP The worker would deny the application. OSIPM The worker would deny the application. HSD The application would be denied. Multi-program example 2 Jeff calls his worker to let them know that he cannot make it to his JOBS activity because he was rear-ended. The worker offers to assist Jeff in completing the online form, but Jeff doesn’t have all of the information with him. The worker pends Jeff on a DHS 210A or RFI for a completed Vehicle Related Personal Injury Form. Jeff does not contact his worker to confirm that this is completed. SNAP This does not apply to the SNAP program. TANF The worker would close the TANF case benefits with a timely decision notice. ERDC This does not apply to the ERDC program. REF The worker would close the REF case benefits with a timely decision notice. MSP The worker would close the MSP case benefits with a timely decision notice. OSIPM The worker would close the OSIPM case benefits with a timely decision notice. HSD Benefits would close for this individual with a timely decision notice. Good cause for not pursuing assets Multi-program example 1 Anna explains to her worker that she jointly owns a newer BMW with her grandfather’s. Though, she has access to this car when she needs it, he is unwilling to sell the vehicle.