Forms to be Deleted           Date                                                                 Forms to be Added     Date

DCO-191                        07/04                                                                  DCO-191                 07/05           

DCO-271                        05/03                                                                  DCO-271                 07/05

DCO-285                        06/03                                                                 DCO-285                 04/05

 

SUMMARY OF CHANGES

 

DCO-191- Request for Information- Medicaid, Food Stamps and TEA Programs- has been revised to provide space for “other” verification.  

 

DCO-271-Telephone Report Form- has been revised to request information about U.S. Citizenship status and to request information as to whether the household has moved from the county or not.

  

DCO-285- Food Stamp Semi-Annual Report and Medicaid Renewal Form- has been revised for the following reasons:

 

1)      Reformatted to fit a standard size envelope.

2)      Modified the Social Security Number Statement.

3)      Made the Verification of Earnings for Semi-Annual Report a separate sheet that will be mailed with the Semi-Annual Form.

 

These forms are available on DHS Gold.