CAMTL 23 ("Your Rights and Responsibilities" and "Request for Cash, Food Stamp, and Medical Assistance" Forms Available in Spanish and Somali)
Cash Assistance Manual Transmittal Letter No. 23
November 10, 2005
TO: Food Stamp Certification Handbook Holders Cash Assistance Manual Holders
FROM: Barbara E. Riley, Director
SUBJECT: "Your Rights and Responsibilities" and "Request for Cash, Food Stamp, and Medical Assistance" Forms Available in Spanish and Somali

The purpose of this transmittal letter is to publish a recently translated Somali version and a revised Spanish version of the application, JFS 07200, "Request for Cash, Food Stamp, and Medical Assistance" and the JFS 07501,"Your Rights and Responsibilities" in the Food Stamp Certification Handbook and the Cash Assistance Manual. The Spanish version of the JFS 07105, "Application/Reapplication Verification Request Checklist" will also be published in the Cash Assistance Manual. These forms are currently posted and available on the Ohio Department of Job and Family Services (ODJFS) internet and innerweb sites. The "Application/Reapplication Verification Request Checklist" which is included in Procedure 1 of the Food Stamp Certification Handbook will not be updated at this time.

A supply of the Spanish forms may be ordered by the counties from the ODJFS warehouse. The Somali forms will not be stored in the ODJFS warehouse at this time. If the volume of usage increases a request will be made for a supply of the Somali forms to be stored for ordering by the county agencies.

INSTRUCTIONS: FOOD STAMPS

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT/REPLACEMENT
Appendix  
Appendix IndexAppendix Index dated May 1, 2005Appendix Index dated November 1, 2005
Appendix 101-B JFS 07200S-Solicitud para Ayuda en Efectivo, Médica y Estampillas para Comida
(Rev. 08/2002)
JFS 07200S - Pedido para Recibir Efectivo, Estampillas de Alimentos y Asistencia, Médica
(Request for Cash, Food Stamp, and Medical Assistance translated into Spanish)
(Rev. 05/2005)
Appendix 101-CN/A JFS 07200-SO - Codsiga Kaashka, Gargaarka Cuntada, iyo Gargaarka Caafimaadka
(Request for Cash, Food Stamp, and Medical Assistance translated into Somali)
(Rev. 05/2005)
Appendix 102-B JFS 07501S-Sus Derechos y Responsabilidades
(Rev. 08/2001)
JFS 07501S-Sus Derechos y Obligaciones (Your Rights and Responsibilities translated into Spanish)
(Rev. 05/2005)
Appendix 102-CN/A JFS 07501SO-Xuquuqdaada iyo Waajibaadka (Your Rights and Responsibilities translated into Somali)
(Rev. 05/2005)
Appendix 35
Record of Changes to Handbook
N/AUpdate with the number and date of this transmittal

INSTRUCTIONS: CASH ASSISTANCE

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT/REPLACEMENT
Forms Appendix  
JFS Forms Outline of Contents
(Effective October 1, 2005)
Outline of Contents
(Effective November 1, 2005)
JFS 07105 Application/Reapplication Verification Request Checklist  JFS 07105S Lista de Control Para Solicitud y Renovación
(Rev. 08/2005)
(Spanish version)
JFS 07200 Request for Cash,
Medical and Food Stamp Assistance
JFS 07200S Solicitud Para Ayuda En Effectivo, Medica Y Estampillas Para Comida
(Rev. 8/2002)
JFS 07200S Pedido para Recibir Efectivo, Estampillas de Alimentos y Asistencia Médica
(Rev. 05/2005)
(Spanish version)
JFS 07200 Request for Cash,
Medical and Food Stamp Assistance
  JFS 07200-SO Codsiga Kaashka, Gargaarka Cuntada , iyo Gargaarka Caafimaadka
(Rev. 05/2005)
(Somali version)
JFS 07501 Your Rights and Responsibilities JFS 07501S Sus Derechos Y Responsabilidades
(Rev. 11/2003)
JFS 07501S Sus Derechos y Obligaciones
(Rev. 05/2005)
(Spanish version)
JFS 07501 Your Rights and Responsibilities  JFS 07501SO Xuquuqdaada iyo Waajibaadka
(Rev. 05/2005)
(Somali version)