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VIRGINIA DEPARTMENT OF SOCIAL SERVICES ADVANCED NOTICE OF PROPOSED ACTION

10/24 VOLUME V, PART XXIV, PAGE 50

ADVANCE NOTICE OF PROPOSED ACTION

FORM NUMBER - 032-03-0018

PURPOSE OF FORM - (1) To notify a household of a reduction, termination or suspension of benefits which occurs within the certification period; and, (2) to advise the household of its right to a local agency conference and its right of appeal to the State agency.

USE OF FORM - (1) To be prepared immediately following the decision of the local agency that the above action is indicated; and (2) to be mailed to the recipient immediately or as soon as possible after such decision, if an automated version is not used.

This form may be used to advise recipients of simultaneous decreases or terminations in more than one program. Mandates for joint use in Public Assistance and SNAP are contained in Part XIV.A.3. of this manual and in Section 401.4 of the TANF Manual.

NUMBER OF COPIES - Three.

DISPOSITION OF FORM - The original must be issued to the head of the household. One (1) copy is to be retained in the SNAP case file and one (1) copy is to be placed in another program file, if appropriate.

INSTRUCTIONS FOR PREPARATION OF FORM - Enter the appropriate identifying information at the top of the form. Enter the case numbers and categories related to the proposed action.

For each program section, enter, as appropriate: a. Action Type b. Reason for Proposed Action c. Manual Reference d. Worker's Name and Telephone Number e. Amount of Reduction - Enter the former and new assistance or allotment amounts. f. Effective Date - Enter the date of the proposed action. For SNAP, this date must be at least 10 days from the date the form is mailed or given. For reduced or suspended benefits, the effective date will be the first day of the next month. When benefits are terminated, the effective date will be the last day of the month.

Examples

(1) An Advance Notice of Proposed Action is mailed on October 15; the effective date of the proposed action would be November 1 if benefits are being reduced or suspended. The effective date of the proposed action would be October 31 if benefits are terminated.

(2) An Advance Notice of Proposed Action is mailed on October 25; the effective date would be December 1 for a reduction or suspension of benefits or November 30 for a termination of benefits.

TRANSMITTAL #35