IM-35 04/07/99 IM-149 FORM AND INSTRUCTIONS PAGES 1-3
|IM-149, BENEFIT ADJUSTMENT NOTICE
FORMS MANUAL REVISION #10:
IM-149 AND INSTRUCTIONS, PAGES 1-3
|Attached is a revised IM-149, Benefit
Adjustment Notice. The revision adds changes in the legal obligation
to pay child support to the list of changes that a household must report.
This 3/99 revision of the IM-149 replaces the previous version of the IM-149 and the IM-149(EBT). Since all participants now receive their benefits through EBT, there is no need for a separate notification form.
Use your current supply of IM-149(EBT) forms to depletion. The revised form will be sent to offices upon request for a new supply of IM-149(EBT) forms.
Form not available on the On-line System. Refer to IM Forms Manual.