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Client s Signature 10 Witness 11 Caseworker s Date 14 DSS-8650 Rev. 02/11 Economic and Family Services Telephone Number 15 INSTRUCTIONS FOR COMPLETION OF THE DSS-8650 Use this form to request verification of information at the time of application recertification or reported change. FOOD AND NUTRITION SERVICES FNS NOTICE OF INFORMATION NEEDED Name County FSIS Case ID No* FNS Worker The items listed on this form are needed to complete your Application Recertification If we don t receive this information by denied reduced or terminated* Proof of Residency Where you Live Change 5 your FNS benefits may be delayed Identity Social Security numbers or proof of application for. Citizenship Alien Status for Authorized Representative form signed by Wages Pay stubs or wage letter for for the months of Proof of Self-Employment/Farm Income and itemized receipts of expenses for the months of or Tax Form Year Odd jobs Record showing date worked who paid you date paid amount paid and work related expen....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232