CAMTL 3 (Revision of JFS 07200 and JFS 07501)
Cash Assistance Manual Transmittal Letter No. 3
June 24, 2002
TO: All Cash Assistance Manual Holders All Food Stamp Certification Handbook Holders
FROM: Thomas J. Hayes, Director
SUBJECT: Revision of JFS 07200 and JFS 07501

We have recently received guidance from the Office of Civil Rights within the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Agriculture (USDA) regarding language that must be included on all applications. These changes have been incorporated into the attached 07200 "Request for Cash, Medical and Food Stamp Assistance" and the JFS 07501 "Your Rights and Responsibilities". A Service Request Form (SRF) has been generated to make the necessary changes to the CRIS-E generated Rights and Responsibilities document.

The following changes have been made to the 07200:

  • "Primary language of the person you are applying for" has been added to page 1.
  • Language has been added to section A on page 3 regarding not having to provide a social security number if an individual is not applying for benefits.
  • Race and Ethnicity have been broken out on the chart in section A on page 3. The shaded box below the chart indicates the codes that would be entered into the boxes for race and ethnicity. A SRF has been written to capture this information in CRIS-E.
  • The question on page 3 of the current 07200 regarding food stamp disqualifications has been removed as it is now asked on CRIS-E screen AEISD.
  • The shaded box on page 4 contains nondiscrimination information for both the USDA and HHS. The current version only carried the USDA address.

The following changes have been made to the 07501:

  • At the request of the Office of Civil Rights, the paragraphs on "Prohibition against discrimination on the basis of disability" and "Assisting persons who are limited English proficient" have been moved to the 1st page of the document.
  • Minor language changes have been made to the section on "Release of information on social security number".
  • The "Reporting Responsibilities" section has been separated according to program (e.g., food stamps, cash). As a result of the implementation of semi-annual reporting (SAR) effective July 1, 2002 for food stamp assistance groups, the food stamp reporting requirements are separated into two categories: "Households with no earned income" and Households with earned income".

The Spanish versions of both documents will be revised and available in the warehouse.

Cash Assistance Manual Instructions:

Remove and file as obsolete from the Forms Appendix, the JFS 07200 "Request for Cash, Medical and Food Stamp Assistance", dated August 2001, and replace with the attached 07200 dated July 2002.

Remove and file as obsolete from the Forms Appendix, the JFS 07501 "Your Rights and Responsibilities", dated August 2001, and replace with the attached 07501 dated July 2002.

FSTL Instructions:

Remove and file as obsolete Appendix 101, "Request for Cash, Medical and Food Stamp Assistance", JFS 07200, dated August 2001 and replace with the attached JFS 07200 dated July 2002.

Remove and file as obsolete Appendix 102, "Your Rights and Responsibilities", JFS 07501 dated August 2001 and replace with the attached JFS 07501 dated July 2002.

Update Appendix 35, Record of Changes to Handbook, with the number and date of this transmittal.

Attachments

JFS 07200 "Request for Cash, Medical and Food Stamp Assistance"

JFS 07501 "Your Rights and Responsibilities"