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Cal District Commissioners Issuing Division/Office: Center for Employment and Economic Supports Date: July 12, 2010 Subject: Revised LDSS-3668: Shelter Verification Form Suggested Distribution: Food Stamp Benefits Staff Temporary Assistance Staff MA Directors CAP Coordinators Employment Coordinators WMS Coordinators Staff Development Coordinators Contact Person(s): Policy Questions: Temporary Assistance Bureau at (518) 474-9344 or 1-800-343-8859 Food Stamp Bureau at (518) 473-1469 HEAP Bur.

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