Automatic Notices 430-05-20-30

(Revised 12/01/08 ML3164)

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The following notices are automatically sent when an application is approved:

 

• X217 - Telephone Assistance Program – A household can complete and submit this form to their telephone provider to receive a monthly deduction off the basic telephone fee.
• X421 – Household Over Gross Income Limit and Eligible - Reporting Requirement – for categorically eligible household with income over the gross income limit, this notice informs the household of their reporting requirements.
• X422 – Household Under Gross Income Limit Reporting Requirement – for households subject to simplified reporting this notice informs the household of their reporting requirements.