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Page | 44 345 Combined Work Registration/ABAWD Notice A form completed by the Benefits Specialist to explain to the customer the reporting responsibilities as a work registered person and as an ABAWD. The form will list who in the household is a work registrant and who is an ABAWD. It also explains the penalties for non-compliance with the work requirements. The form is given to the customer. 349 Six Month Report Notice of Action Used by Benefits Specialists to inform households when their 6 month report form was incomplete or if additional information is needed before their benefits can be determined for the month. 350 Transfer Request Form A form to assist the Benefits Specialist when they are talking to a customer who wants to have their case transferred from one office to another within South Dakota.

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Investigation Request Form Used by Benefits Specialist with they are requesting an investigation by ORFI. This can be used if a tip is received or if the benefits Specialist suspects that there is unreported income and/or resources or if there are household members that have not been reported in the household and should have been. 894 Overpayment Report Form required to be completed to document the circumstances of an overpayment so that ORFI can add the overpayment to their system and track it for repayment of the overpaid benefits. 954 Client Authorization Debit for Repayment This form can be completed by a customer if they wish to have their overpayment taken directly out of future SNAP benefits or if they want one lump sum to be taken out of their EBT account. ORFI and EBT must also sign off on this request. 954 Client Authorization Debit for Repayment This form can be completed by a customer if they wish to have their overpayment taken directly out of future SNAP benefits or if they want one lump sum to be taken out of their EBT account. ORFI and EBT must also sign off on this request.

Voter Registration Forms Online or print applications to be completed by the customer and mailed by the benefits specialist to the local county auditor. Refer to section 3910 for more specific information.