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COMMONWEALTH OF VIRGINIA DEPARTMENT OF SOCIAL SERVICES SNAP EMPLOYMENT AND TRAINING (SNAP E&T)

TO:

Agency (Name)

Date (Address)

Case Number (City State & ZIP)

SNAP E&T NOTICE OF CASE CLOSURE

You are out of compliance with rules for SNAP E&T participation.

You did not participate as required in SNAP E&T. Because of this, your SNAP E&T participation will be terminated.

SNAP E&T WILL END BECAUSE:

You did not keep your scheduled appointment on .

You did not complete your assignment to .

Other .

In order to avoid having your case closed, you must contact me by to give me a good reason why you did not complete the activity checked above.

If we do not hear from you on or before , your SNAP E&T case will close effective

SNAP E&T Worker/Case Manager:

Telephone Number:

032-02-0089-08-eng (1/12)