Effective Date – Oct 1, 2011

JAS Child Care Notices

 

Number

Title

 

 

Approvals/General

 

C011

General Correspondence (Not to be used for adverse action)

C102

Initial Application Approval

 

 

Denials/Closures

 

C201

Failure to Provide Information

C206

Excess Income

C211

Two Parent Household

C213

Denial/Closure - Other Reasons

C214

Denial/Closure - Presumptive Eligibility

 

 

Miscellaneous

 

C301

Application Pending

C417

Change Report

C501

Erroneous Discontinuance

 

 

Change Notices

 

C701

Decrease in Benefits - Other Reasons

C702

Increase in Benefits - Other Reasons

C706

Increased Benefits - Decreased Income

C707

Decreased Benefits - Increased Income

 

 

Case Terminations

 

C801

Child Care Review

C823

Termination - Provider Not Meeting Standards

 

 

Overpayments 

 

C902

Possible Overpayment Notice

C903

Notice of Child Care Overpayment

C953

Billing Statement

 

EPICS SNAP Related Notices

 

Number

Title

 

 

Correspondence

 

F002

Benefit Specialist Introduction Letter

F004

Incapacity Verification Letter

F005

Employment Information Letter

F007

SSN Request Letter

F011

General Correspondence (Not to be used for adverse action)

 

 

Approvals

 

F101

Expedited SNAP Application - Verification Waived

F102

Initial SNAP Application

F103

FS Recertification - By End of Cert

F104

FS Recertification - After Certification Expired

F109

Notice of ABAWD Status

 

 

Denials

 

F201

Failure to Complete Application Process/Provide Information

F203

Residency

F204

Denial – ABAWD

F205

Alien Status/Household Size One

F206

Income Exceeds Gross Income Limit

F207

Income Exceeds Net Income Limit

F208

Excess Assets

F209

Denied 1st Month/Approved 2nd Month

F213

Denial – Other Reasons

F220

Receiving Benefits in Another State

F222

Failure to comply with Work Registration

F224

Student Elig Criteria Not Met - 1 Person HH

 

 

Pended

 

F301

Additional Information/Verification

F302

Not a Separate SNAP Household

F303

Pended - Other Reasons

F304

Pend - Request for Contact

F305

Pend - Request for Verifications

F312

Notice of Missed Interview

 

 

Closures

 

F401

Failure to Provide Information

F403

Residency

F404

ABAWD Closure

F405

Alien/Citizenship Verification

F406

Income Exceeds Gross Income Limit

F407

Income Exceeds Net Income Limit

F408

Excess Assets

F413

Closure - Other Reasons

F414

Closure - Client Request

F415

Loss of Contact

F417

Change Report

F431

Not a Separate FS Household

F432

SNAP Work Requirements – 1 Person HH

F434

Student Elig Criteria Not Met - 1 Person HH

 

 

Miscellaneous

 

F501

Erroneous Discontinuance

F502

SNAP Reinstated - Administrative Hearing Pending

F504

SNAP Continue - Administrative Hearing Pending

 

 

Changes

 

F701

Decrease in Benefits - Other Reasons

F702

Increase in Benefits - Other Reasons

F703

Supplemental Benefits

F704

Decrease in Benefits - ABAWD

F706

Increase in Benefits - Decreased Income

F707

Decrease in Benefits - Increased Income

F710

Decrease in Benefits - POWER Noncompliance

F712

Replacement of Benefits

F732

Decreased SNAP: Work Requirements Non-Comply

 

 

Miscellaneous

 

F801

SNAP Certification Expiration Notice

 

 

Overpayments

 

F900

Client Error Claim - Open Case

F901

Request Payment - Client Error - Open Case

F902

Possible Overpayment Notice

F903

1st Notice of SNAP Overpayment

F904

2nd Notice of SNAP Overpayment

F905

Notice of Disqualification or Judgment

F908

Past Due Payment Notice

F910

Computer Match Overpayment Notice

F912

Offset Underissuance on Overissuance

F920

Decrease of Overpayment Amount

F930

Receipt of Payment

F931

Payment in Full

F953

Billing Statement

 

 

Automatic

 

X001

SNAP Terminated - No Recertification

X004

SNAP Recertification Due

 

 

 

EPICS POWER Related Notices

 

Number

Title

 

 

Correspondence

 

A001

Benefit Specialist Introduction Letter

A002

School Verification/Information Letter

A005

Employment Information Letter

A008

Change of Address Letter

A010

Change in Exemption Status

A011

General Correspondence (Not to be used for adverse action)

 

 

Approvals

 

A102

Initial POWER Payment Approval

A104

POWER Periodic Review

A109

Initial Approval of Minor Parent

A110

Voluntary Quit/Approval Later

A151

POWER-SASFA Approval Notice

 

 

Denials

 

A201

Failure to Provide Information

A202

Failed to Complete Application Process

A206

Income Exceeds Gross Income Limit

A208

Excess Assets

A209

Not Living in Adult Supervised Setting

A211

Lack Stepparent Income Information

A213

Other Reason

A216

Parent Moved In/Out of the Home

A225

Sponsored Alien

A250

Five Year Benefit Denial

 

 

Pended

 

A301

Additional Information Required

 

 

Closures

 

A401

Failure to Provide Information

A405

Alien/Citizenship Verification

A406

Income Exceeds Gross Income Limit

A407

CS Causes Closure/Prior Mos Pay/No Medical

A408

Excess Assets

A409

Not Living in Adult Supervised Setting

A410

Stepparent Income

A411

Lump Sum Equals Over Income

A413

Other Reasons

A417

Change Report

A419

Participation in Strike

A426

Parent Moved In/Out of Home

A427

CS Causes Closure/Prior Mos Pay/4M Medical

A428

Earned Income/Prior Mos Pay

A450

5 Year POWER Benefit Limit

A451

Loss of SASFA Status

 

 

Reopen Without New Application

 

A501

Erroneous Discontinuance

 

 

Changes

 

A701

Decrease in Benefits

A702

Increase in Benefits

A703

Supplemental Benefits

A710

Performance Requirements - Noncompliance

A711

Earned Income Incentive

A751

Loss of SASFA Exclusion

 

 

Miscellaneous

 

A801

POWER Periodic Review

A803

Child Support Good Cause Claim Approval

A804

Child Support Good Cause Claim Denial

A814

No Payment/Less than $10

A815

Protective Payee

A817

Notice of Case File Transfer

A820

Child Support Enforcement Continues

 

 

Overpayments

 

A902

Possible Overpayment Notice

A903

1st Notice of AFDC/POWER Overpayment

A904

2nd Notice of AFDC/POWER Overpayment

A908

Past Due Payment

A912

Offset Underpayment Against Overpayment

A930

Receipt of Payment

A931

Payment in Full

A953

Billing Statement

 

 

Automatic Notices

 

X013

Child Support Enforcement Continues

 

JAS Employment & Training Related Notices

 

Number

Title

 

 

E004

E&T Failure to Comply

 

 

 

JAS Work Program Action Center Related Notices

 

Number

Title

 

 

P001

Work Program Appointment Notice

P003

Failure to Comply

P004

Good Cause Decision Approved

P005

Good Cause Decision Denied

P011

General Correspondence

P805

POWER Work Program Case Transfer

P806

Expenditure Request Decision