IM-222 12/18/01 FORMS MANUAL REVISION
#38
IM-101, IM-112, IM-145B, AND IM-149
SUBJECT: |
FORMS MANUAL REVISION #38
IM-101, IM-112, IM-145B, and IM-149 |
DISCUSSION: |
The IM-101, Household Member Age 16-60
Assessment; IM-112, Action Taken on Your Food Stamp Case; and the IM-149,
Household Notification of Benefit Adjustment forms are revised. A
new change report form, IM-145B Change Report, is created for use by earned
income households to report changes in income.
IM-101 The reference to JTPA (Job Training Partnership Act) is changed to WIA (Workforce Investment Act). The JTPA Program no longer exists and has been replaced with WIA. IM-112 The IM-112 is reformatted and changed as follows:
The IM-149 is also reformatted. Statements are added to notify the household:
Change Report Form for Earned Income Households The IM-145B Change Report is created for use by earned income households to report income changes. Provide the IM-145B to households:
Use current forms until depletion making changes to the IM-112 and IM-149 as outlined in memorandum IM-#76. |
NECESSARY ACTION: |
Distribution #6 Forms not available online, hard copy only IM-112 (pages 1-5) and IM-149 (pages 1-3) instructions (Adobe Acrobat) IM-145B instructions (Adobe Acrobat) |
IM-221 |