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Attached Document:
pb_10-85-ope.pdf
Documents: 2010 Policy Bulletins
#10-85-OPE: Revisions To Forms M-325U, W-34A, W-106E, W-113E, W-145WW, W-145XX, W-208A, W-209B, W-607A, W-608H, W-719E, W-719G, And W-719R
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The purpose of this policy bulletin is to inform all Job Center staff that the following Disbursement and Collection (D&C) forms have been revised:
• Request for Lift of Stop Payment Order (M-325U)
• Referral/Information Form (W-34A)
• Notice of Decision on Returned or Released Check (W-106E)
• Information and Referral Notice (W-113E)
• Daily Log for Personal Care Kits and Supplementary Items (W-145WW)
• Weekly Status Report for Personal Care Kits and Supplementary Items (W-145XX)
• Home Delivery Sheet of Cash Assistance Checks (W-208A)
• Daily Emergency Public Assistance (EPA) Check Log (W-209B)
• Request for Identification Card/Temporary Medicaid Authorization/Update Existing CBIC (W-607A)
• Travel Directions to the Manhattan/Brooklyn Common Benefit Identification Card (CBIC) Over-The-Counter (OTC) Sites (W-608H)
• Monthly Report of Emergency Public Assistance Checks (W-719E)
• Carfare Authorization (W-719G)
• Summary of Audit of Single Issue Forms (LDSS-3575) (W-719R)
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Created: 8/24/2010
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