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VIRGINIA DEPARTMENT OF SOCIAL SERVICES TABLE OF CONTENTS
10/24 VOLUME V, PART XXIV, PAGE ii
PART XXIV FORMS (continued)
FORM NUMBER NAME PAGES
032-03-0174-09-eng SNAP SANCTION NOTICE FOR NON-COMPLIANCE
WITH A WORK REQUIREMENT 81-83
032-03-0721-12-eng NOTICE OF INTENTIONAL PROGRAM VIOLATION 84-86
032-03-0722-06-eng WAIVER OF ADMINISTRATIVE DISQUALIFICATION
HEARING 87-89
032-03-0725-05-eng REFERRAL FOR ADMINISTRATIVE DISQUALIFICATION
HEARING 90-91
032-03-0724-08-eng ADVANCE NOTICE OF ADMINISTRATIVE
DISQUALIFICATION HEARING 92-94
032-03-0723-11-eng ADMINISTRATIVE DISQUALIFICATION HEARING
DECISION 95-96
032-03-0052-13-eng NOTICE OF DISQUALIFICATION FOR INTENTIONAL
PROGRAM VIOLATION 97-98
032-03-0419-04-eng MISSED INTERVIEW NOTICE 99-100
032-03-0460-05-eng NOTICE OF ACTION AND EXPIRATION 101-103
032-03-0658-03-eng NOTICE OF TRANSFER 111-113
032-03-0227-10-eng CASE RECORD TRANSFER FORM 114-115
032-03-0440-00-eng RIGHTS AND RESPONSIBILITIES 116-117
032-03-0572-00-eng COMPROMISING CLAIMS WORKSHEET
118-119
032-03-729B-16-eng TANF APPLICATION TO ADD NEW ASSISTANCE
MEMBERS 120-122
032-03-824A-01-eng APPLICATION FOR THE ELDERLY SIMPLIFIED APPLICATION PROJECT (ESAP) 123-128
032-03-729D-01-eng RENEWAL APPLICATION FOR ELDERLY SIMPLIFIED
APPLICATION PROJECT (ESAP) 129-134
032-03-1140-01-eng SNAP EBT Replacement and Client Attestation
135
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