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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 36 Chapter 1 Application/Redetermination Process

When the applicant has completed the application, and there is a technical failure that prevents printing the DFA-2, Form DFA-5 must be signed by the applicant, attached, and filed in the case record with the subsequently printed DFA-2. The DFA-RR-1 must also be completed and signed. He must not be required to return to the office to sign the DFA-2 when a DFA-5 has been signed. ➢ Request for Information and/or Verification Checklist DFA-6 When the Worker does not have sufficient information to make a decision, it is necessary to complete form DFA-6 or verification checklist to inform the applicant of the additional information needed. All requests for verification must be made using the DFA-6 form and/or verification checklist. The Worker must clearly state on the form what items must be returned by the applicant, as well as the date by which the information must be returned. The applicant’s failure to return information or the return of incomplete or incorrect information that prevents a decision from being made on the application will be considered failure to provide verification and will result in a denial of the application. ➢ Release of Confidential Information Statement DFA-CI-1 In all situations where case information is released to another organization or agency, the information must have form DFA-CI-1 attached to it. 1.3.1.B WV PATH Application WV PATH is the online system that allows clients to be evaluated for or apply for certain benefits. 1.3.1.B.1 Purpose This application can be used for: • SNAP • Medicaid • WVCHIP