Get 04-028 Date 02-06-2004 To: From: County Welfare Director Supply Clerk / Forms Coordinator Forms

Navigating the 04-028 form can seem daunting, but with clear instructions, you'll be able to complete it efficiently and accurately. This guide will provide you with step-by-step guidance to ensure you understand each component of the form and how to fill it out online.

Follow the steps to fill out the form accurately.

1. Click the ‘Get Form’ button to obtain the form and access it in the digital environment.
2. Begin by filling in the date section at the top of the form. This should reflect the date you are completing the form.
3. In the 'TO:' field, enter 'County Welfare Director' to indicate the recipient of the form.
4. In the 'FROM:' field, specify your role as 'Supply Clerk / Forms Coordinator.' This clarifies your position regarding the submitted document.
5. Complete the form number and title section. Ensure it states 'DFA 377.2 (11/03) Food Stamp Notice of Expiration of Certification for Change Reporting Household.'
6. In the order unit section, mark whether this is a master copy, and select 'Free' or any applicable options.
7. Fill in the required form status, indicating if it's new or revised, and provide information about the previous version date if applicable.
8. Make sure to include any specific instructions related to form disposition and whether to use old forms until they are exhausted or to destroy them.
9. Finally, review your completed form for accuracy, then save changes to your electronic document. You can also download, print, or share the form as needed.

Take action today and complete your documents online with confidence.