| SUBJECT: | 
| CHANGE REPORT FORM FORMS MANUAL REVISION #14:  IM-145
FORM AND INSTRUCTIONS
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|  | 
| DISCUSSION: | 
| The IM-145, Change Report form is revised. 
Changes made to the form include: 
Changing terminology to Temporary Assistance.
 
Revising the format in Section G to allow
households to declare shelter expenses by checking the appropriate blocks
rather than filling in blank areas.
 
Adding in Section I, Child Support Expense,
that court ordered child support paid to non-household members includes
current payments, arrearages and health insurance as an expense.
 
Revising Section L to include the current
penalties and disqualifications enacted by the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996. | 
|  | 
| NECESSARY ACTION: | 
| 
BJK
Discuss this memorandum with all appropriate
staff.
 
Use current supply of the IM-145, Change Report
form, to depletion.
 
File the revised IM-145, Change Report form
and instructions in the Forms Manual. Distribution #3
 Form not available on-line.  Refer
to IM Forms Manual.
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