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Documents: 2009 Policy Directives

#09-06-ELI: Safety Net Assistance Program
(This Policy Directive Replaces PD #99-46)
This policy directive has been revised as follows:
• The term “Public Assistance (PA)” has been changed to “Cash Assistance (CA)” throughout.
• The titles and form numbers of the following forms required as part of the Safety Net Assistance (SNA) application process have been
�� Agreement To Repay Any Safety Net Assistance Overpayments Still Owed After Case Is Closed (LDSS-4529) form
�� Assignment Of Wages, Salary, Commissions Or Other Compensation For Services (LDSS-4530) form
• The Required Action section now states that form LDSS-4530 must be signed in the presence of a Commissioner of Deeds or Notary Public and notarized.


Created: 2/23/2009