| TO: | ALL COUNTY OFFICES |
| FROM: | JANEL R. LUCK, DIRECTOR |
| SUBJECT: | FORM FS-1, APPLICANT'S ELIGIBILITY STATEMENT |
DISCUSSION:
The Applicant's Eligibility Statement (FS-1) form, English and Spanish translations, are revised. A statement is added to notify the eligibility unit that a "yes" response to any of the Household Declaration questions may result in a disqualification from the Food Stamp Program for that individual. The EU is also informed that reporting the Hispanic/Latino ethnicity of an individual is voluntary and does not affect the individual's eligibility or benefit amount for the Food Stamp Program. The FS-1 instructions are updated and revised.
The FS-1 forms and instructions are on the Intranet and Internet. The PDF version may be printed and given to anyone requesting an application for food stamp benefits.
To access the PDF version and/or instructions,
- go to Family Support Division (FSD) Intranet site,
- select Food Stamps,
- under Forms select Forms Manual from the drop-down list,
- select Volume 1, and
- select PDF FS-1 English
, FS-1 Spanish or Instructions.
The FS-1 forms and the instructions are available on the Department of Social Services Internet site at https://dss.mo.gov/fsd/fstamp/index.htm.
An initial supply of the revised FS-1 is being sent to the county offices. Upon receipt, destroy/recycle all versions prior to 09/06.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.