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West Virginia Income Maintenance Manual Chapter 12

West Virginia Income Maintenance Manual Page 13 Chapter 12 Benefit Replacement

12.3.12 WHEN THE BA-67 IS NOT REPLACED Unless one of the criteria in Section 12.3.11 above is met, the BA-67 is not replaced. 12.3.13 BA-67 REPLACEMENT PROCEDURES 12.3.13.A If the BA-67 Is Not Received If the BA-67 is not received within 10 workdays, excluding Sundays and holidays, after the expected receipt date, the Worker prepares an original and two copies of the Lost Check Affidavit form (DF-36). When completing the name and address on the DF-36, the information must match the original information on the BA-67. • Have the client read or read to him the DF-36 and explain that he must return the original BA-67 if later received or found. • The client signs the DF-36 in the presence of the Worker. The client’s name must be exactly as shown on the BA-67. Two witnesses are required if the client signs with an X. Signatures on all copies must be original. The Worker must complete the state, county, and date sections of the DF-36. • The Worker or Supervisor logs into the BA-67 system to request a cancel. The request is automatically electronically sent to the Financial Clerk to cancel the voucher. • One copy of the DF-36 is kept in the Work Programs portion of the case record, one copy is given to the Financial Clerk, and one copy is given to the customer. 12.3.13.B If the BA-67 Has Been Canceled If the BA-67 has been canceled, and then the Worker receives a request for payment from the canceled BA-67, the Worker must request a new BA-67 as a replacement. The replacement BA- 67 voucher is used to issue a payment to the vendor and never leaves the county office. • The Worker must create a new BA-67 in the case management system with details matching the canceled voucher, including the vendor name and maximum amount.