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Home   >>   About   >>   Policy Manuals   >>   SNAP and POWER Policy Manual   >>   Forms

Forms

Case File Glossary
Codes Notices
CM Updates Policy Clarifications
Forms Tables

DFS Narrative (Updated Monthly)
DFS Change Narrative
DFS 100 SNAP/TANF Application (English & Spanish Version)
DFS 101 Before You Apply
DFS 103 Change Report (Updated Annually)
DFS 104 Back of Notice
DFS 106 Employer’s Statement
DFS 108(a) Income from Farm Operations
DFS 108(b) Self-Employment
DFS 109 Rental Verification Form
DFS 110 Statement of Incapacity
DFS 111 Student Financial Assistance Verification
DFS 115(a) Request for Information
DFS 115(b) Asset Verification Request
DFS 117 Child Care Expense Verification
DFS 301 Work Registration Form
DFS 303 Employer’s Statement-Migrant
DFS 304 SNAP Replacement Benefit Questionnaire
DFS 305 SNAP Checklist
DFS 306 SNAP Quality Assurance Review Form
DFS 306(a) POWER Quality Assurance Review Form
DFS 416 Give One Day Eye Care Form
DFS 543 Child Support Services Application
DFS 544 Notice of Retained Child Support
DFS 545/546 Child Support Cooperation Notice/Good Cause Claim
DFS 562 POWER Work Activity Expenditure
DFS 562(b) POWER Work Activity Expenditure Record
DFS 563 POWER Change Report 
DFS 564 POWER Work Experience Training Agreement
DFS 565 Power Labor Market Assessment Agreement
DFS 566 POWER Weekly Work Search Activity Report
DFS 567 POWER Authorization to release -request confidential information
DFS 568 POWER Individual Responsibility Plan 
DFS 569 POWER Good Cause Form
DFS 571 POWER check list 
DFS 572 Caretaker POWER Checklist
DFS 582 POWER Court Ordered Obligor Report
DFS 583 POWER Court Ordered Participant Report
DFS 584 Termination Notice – Court Ordered Participant
DFS 585 POWER Work Experience Weekly Time Sheet

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