DN 696 Simplified Reporting Information Fact Sheet 430-05-100-130

(Revised 10/01/18 ML 3532)

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This form can be made available to individuals as a reminder of what changes a simplified reporting household is required to report.

 

This form is available through the Department of Human Services and may also be obtained electronically.

 

DN 696 - SNAP Simplified Reporting Information Fact Sheet (169 kb pdf)

 

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