Refusal To

Code 076 – Furnish Information — Use this code if an application or active case is denied because of refusal to comply with department policy or to furnish information necessary to determine eligibility. This code does not apply to applicants or recipients who fail to return their client-completed form. Code 091, Failure To Furnish Information, should be used in this circumstance. Computer-printed reason to applicant or recipient: "You did not wish to furnish enough information for this agency to establish eligibility for assistance." "Usted no quiso darnos suficiente información para que esta agencia pudiera establecer su calificación para asistencia."

Code 077 (Form H1000-B Only) – Follow Agreed Plan — Use this code for those situations in which a recipient was granted assistance with the understanding that he would take certain steps to utilize resources that were not actually available at time of application but could be made available through recipient's efforts. Computer-printed reason to applicant or recipient: "You did not wish to follow agreed plan so that eligibility for assistance could be continued." "Usted no quiso cumplir con el plan convenido para continuar su calificación para asistencia."