Notice Number

Notice Title

                          Use                                    

F107

EXP SNAP/PFD HH APPROVED - INFO NEEDED

Application situation – send when a household is eligible for expedite SNAPSupplemental Nutrition Assistance Program in the first month and PFD HHPermanent Fund Dividend Hold Harmelss in the second when the application is received after the 15th of the month and verification is waived.

F190

OPEN SNAP AND PFD HH - INITIAL MONTH

Application situation – send when household is eligible for both reduced SNAPSupplemental Nutrition Assistance Program and PFD HHPermanent Fund Dividend Hold Harmelss benefits because of PFDPermanent Fund Dividend income.

F191

PFD HH Supplemental Benefits

Send when household is entitled to receive extra PFD HHPermanent Fund Dividend Hold Harmelss benefits.

F192

SNAP RECERT APPROVED/PFD HH FIRST MONTH

Recertification situation – send when household’s SNAPSupplemental Nutrition Assistance Program recertification application is approved and the first month of the new certification period is a PFD HHPermanent Fund Dividend Hold Harmelss month. Simplified reporting household.

F193

SNAP APPROVED/PFD HH SECOND MONTH

Application situation – send when household’s SNAPSupplemental Nutrition Assistance Program initial application is approved for SNAPSupplemental Nutrition Assistance Program the first month and HH the second month.

F196

SNAP RECERT APPROVED/PFD HH FIRST MONTH

Recertification situation – send when household’s SNAPSupplemental Nutrition Assistance Program recertification is approved and the first month of the new certification period is a PFD HHPermanent Fund Dividend Hold Harmelss month.  Elderly and/or disabled households with no earned income and receritification interview is waived.  

F290

FS Denied First Month/Open PFD HH

Application situation – send when household is ineligible for SNAPSupplemental Nutrition Assistance Program for the application month because of PFDPermanent Fund Dividend income

F291

FS Denied Second Month/Open PFD HH

Application situation – send when household is ineligible for SNAPSupplemental Nutrition Assistance Program for the second month because of PFDPermanent Fund Dividend income.

F292

FS Application Denied/PFD

Send when household is ineligible for SNAPSupplemental Nutrition Assistance Program for the first and second month due to PFDPermanent Fund Dividend income and/or resources and PFD HHPermanent Fund Dividend Hold Harmelss benefits are approved.

F294

FS Application Denied/PFDA HH Second Month

Send when household is ineligible for SNAPSupplemental Nutrition Assistance Program the first month for reason not related to PFDPermanent Fund Dividend and eligible for PFD HHPermanent Fund Dividend Hold Harmelss in second month.

F593

FS Restart Following Suspension

Send when the PFD HHPermanent Fund Dividend Hold Harmelss case closes and the SNAPSupplemental Nutrition Assistance Program case resumes.

F690

FS Suspended Due to PFD

Send when SNAPSupplemental Nutrition Assistance Program case is suspended because of PFDPermanent Fund Dividend income.

F691

FS Suspended – Resources/Open PFD HH

Send when the SNAPSupplemental Nutrition Assistance Program case is suspended because of PFDPermanent Fund Dividend resources.

F692

Categorically Elig/Zero FS – Open PFD HH

Send to categorically eligible households when SNAPSupplemental Nutrition Assistance Program benefit is reduced to zero because of PFDPermanent Fund Dividend income.

F790

FS Decreased Due to PFD

Send when household is entitled to a reduced SNAPSupplemental Nutrition Assistance Program allotment because of PFDPermanent Fund Dividend income.

O490

PFD HH Case Closed

Send when household is no longer eligible for PFD HHPermanent Fund Dividend Hold Harmelss and SNAPSupplemental Nutrition Assistance Program benefits.

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2025-01 (04/25)