zz – Obsolete


CD12-100, OEC12-17 October 3, 2012, CD12-14, OEC12-03 January 31, 2012

  1. Request In Person: Obtain a signed application form and complete the interactive interview.  Retain the signed application and signed interview summary in the case record.  Provide the IM-4 CC and IM-4 hearing rights brochures to the applicant.  A copy of the signed application and/or interview summary may be provided to the applicant, if requested.
  2. Request By Mail or Fax:  If a request for application is received by mail or fax, enter the application in FAMIS and attempt to contact the applicant by phone no later than the next business day.  If phone contact is not successful, send an FA331 Appointment Letter no later than the next business day requesting an interview within five (5) business days.  Once the interview is conducted, write “phone interview” on the client signature line and enter the date of the phone interview on the interview summary.  Send a copy of the interview summary, along with the IM-4 CC and IM-4 hearing rights brochure to the applicant.
  3. Request by Telephone:  record the name and address of the person requesting assistance, as well as the date of the request.  Mail a paper application form no later than the next business day, along with an IM-4 CC, and IM-4 HEARING RIGHTS brochure.

NOTE:  The application has not been filed until the signed application form is received by the agency.

NOTE:  The IM-3 Changes You Must Report form is no longer required as of September 17, 2012.