Supplemental Nutrition Assistance Program (SNAP) Manual – Table of Contents

1145.055.00 INVESTIGATION/DISQUALIFICATION FORMS

IM-#140 November 30, 2005

The following forms are used in the investigation, tracking and referral for disqualification for intentional program violation:

  • FSD/WIU Investigation Tracking Sheet
  • Advance Notice of Your Administrative Disqualification Hearing (IM-160)
  • Waiver Of Administrative Disqualification Hearing and Consent to Disqualification (IM-161)
  • Withdrawal of Waiver of Administrative Disqualification Hearing Consent Agreement (IM-161A)

The use of these forms is described in the following sections.