MANUAL TRANSMITTAL

Arkansas Department of Health and Human Services

Division of County Operations

Policy                                                                        Issuance Number: FSC 06-04

Food Stamp Certification Manual                      Issuance Date: 07/01/06

From: Joni Jones, Director                                     Expiration Date: Until Superseded

Subj: Food Stamp Recertification Forms


 

Forms to be Deleted          Forms to be Added

 

None                                       Application for Recertification (Packet) – DCO-268

None                                       Notice of Missed Interview – DCO-269

None                                       Notice of Food Stamp Recertification Appointment – DCO-286

 

Summary of Changes

 

These are new forms. 

 

DCO-268 - To begin the recertification process, a system-generated packet containing and an Application for Recertification (DCO-268) and the notice of expiration will be mailed directly to the household.  The recertification packet will also supply the household with the information about their rights and responsibilities and will contain a list of the information the household should submit with the application.  If the household wishes to reapply, the DCO-268 must be submitted to the DHHS county office.  This form will be available on DHHS GOLD.

 

DCO-269 - If a household is not available at the appointed time for the telephone interview or doesn’t appear for an appointment for a recertification interview, the DHHS county office worker will issue a Notice of Missed Appointment to the household.  If the household does not request another appointment for an interview, the Application for Recertification will be denied.  This form will be available on DHHS GOLD and through the warehouse after the initial distribution.

 

DCO -286 – This form will be used to schedule the household’s interview at recertification.  It will also be used to request information that was not submitted with the application.  This form will be available on DHHS GOLD and through the warehouse.

 

 

Inquiries to: Larry Crutchfield, Food Stamp Section, 501-682-8283,

                        Erica Scott, Food Stamp Section, 501-682-8286