Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: REPLACEMENT REQUEST/AFFIDAVIT FOR FOOD STAMP BENEFITS LOST FROM AN EBT ACCOUNT (IM-113) OBSOLETE
FORM REVISION #
The Replacement Request/Affidavit for Food Stamp Benefits Lost from an EBT Account (IM-113) is now obsolete.
The Replacement Request (IM-110) should be used for all Supplemental Nutrition Assistance Program (SNAP) replacement requests.
- Review this memorandum with appropriate staff
- Discontinue use of the IM-113