Interim Reimbursement

General Relief claimants who have signed the IM-77 form will often contact caseworkers upon receiving their notice of Supplemental Security Income approval.  Whenever possible, answer their questions regarding interim reimbursement procedures, but do not refer them to DBF.  If staff cannot answer the questions, then refer claimants to our 1-800-392-1261 toll-free hotline number.

Check Replacements

DBF states that some offices submit the IM-214, Affidavit for Replacement Check, without requesting a stop payment.  If a claimant reports the non-receipt of a check, contact DBF to determine whether the check has been cashed.  If the check is outstanding, request a stop payment before completing the IM-214 form. 

Some offices are mailing the IM-215, Affidavit of Forgery, to clients, and other offices are completing the IM-215 form before clients have viewed the cashed checks.  Do not mail the IM-215 form to claimants.  Claimants must come into the office to view the cashed checks before completing the IM-215 form. 

• Discuss this memorandum with all appropriate staff.

• Do not refer interim reimbursement claimants to DBF.

• Request stop payments before completing the IM-214 form.

• Do not mail IM-215 forms to claimants.

• A claimant must view a copy of the cashed check before completing the IM-215 form.