(A)The local agency shall inform the assistance group in writing of the disqualification penalties for an intentional program violation each time the assistance group files an application for program benefits.

(B)Disqualification penalties shall be in clear, prominent, and bold-face lettering on the JFS 07200s "Request for Cash, Food, and Medical Assistance" (rev. 10/2016 12/2012) and the JFS 07501s "Program Enrollment & Benefit Information" (rev. 4/201811/2013), or their electroniccomputer-generated equivalents.

Effective: 3/1/2019

Five Year Review (FYR) Dates: 11/27/2018 and 03/01/2024

Certification: CERTIFIED ELECTRONICALLY

Date: 02/05/2019

Promulgated Under: 119.03

Statutory Authority: 5101.35

Rule Amplifies: 5101.35

Prior Effective Dates: 06/02/1980, 08/01/1983, 09/01/1994, 05/15/1999, 06/01/2003, 09/01/2008, 02/28/2014