ADDENDUM 10
ALASKA PERMANENT FUND DIVIDEND
EIS NOTICES FOR PFD HOLD HARMLESS
Notice Number |
Notice Title |
Use |
F107 |
EXP SNAP/PFD HH APPROVED - INFO NEEDED |
Application situation – send when a household is eligible for expedite Food Stamps in the first month and PFD HH 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 Food Stamps and PFD HH benefits because of PFD income. |
F191 |
PFD HH Supplemental Benefits |
Send when household is entitled to receive extra PFD HH benefits. |
F192 |
SNAP RECERT APPROVED/PFD HH FIRST MONTH |
Recertification situation – send when household’s FS recertification application is approved and the first month of the new certification period is a PFD HH month. Simplified reporting household. |
F193 |
SNAP APPROVED/PFD HH SECOND MONTH |
Application situation – send when household’s FS initial application is approved for FS the first month and HH the second month. |
F196 |
SNAP RECERT APPROVED/PFD HH FIRST MONTH |
Recertification situation – send when household’s SNAP recertification is approved and the first month of the new certification period is a PFD HH 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 FS for the application month because of PFD income |
F291 |
FS Denied Second Month/Open PFD HH |
Application situation – send when household is ineligible for FS for the second month because of PFD income. |
F292 |
FS Application Denied/PFD |
Send when household is ineligible for FS for the first and second month due to PFD income and/or resources and PFD HH benefits are approved. |
F294 |
FS Application Denied/PFDA HH Second Month |
Send when household is ineligible for FS the first month for reason not related to PFD and eligible for PFD HH in second month. |
F593 |
FS Restart Following Suspension |
Send when the PFD HH case closes and the FS case resumes. |
F690 |
FS Suspended Due to PFD |
Send when FS case is suspended because of PFD income. |
F691 |
FS Suspended – Resources/Open PFD HH |
Send when the FS case is suspended because of PFD resources. |
F692 |
Categorically Elig/Zero FS – Open PFD HH |
Send to categorically eligible households when FS benefit is reduced to zero because of PFD income. |
F790 |
FS Decreased Due to PFD |
Send when household is entitled to a reduced food stamp allotment because of PFD income. |
O490 |
PFD HH Case Closed |
Send when household is no longer eligible for PFD HH and FS benefits. |
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