TO:	Commissioners, TA Directors, FS Directors, MA Directors, Services Coordinators, CAP Coordinators, Staff Development Coordinators

FROM:	Patricia A. Stevens, Deputy Commissioner, Division of Temporary Assistance

SUBJECT:	Printing and Delivery of Manual Notices Referenced in 01 INF-17

EFFECTIVE DATE:  Immediately

CONTACT PERSON:  Maria Schollenberger at 1-800-343-8859, extension 4-9556

As outlined in 01 INF-17, the manual client notices listed below are in the process of being delivered to all districts.  They will not be delivered at one time, due to the large number of notices that were revised and the quantities involved.  Your district will receive them as they are printed.  We sincerely regret the delay in the delivery of these notices, and we apologize for the inconvenience.  

Please note that some notices may have been modified since the issuance of 01 INF-17.  If your district has already received approval for local equivalents on these 01 INF-17 notices, please revise your local equivalents and resubmit them according to the procedures in the Local District Manager’s Guide.  Upon receipt of the printed notices, please make sure that all previous versions, both manual and photocopied, are destroyed.  As a reminder, LDSS-4017 and LDSS-4018 should also be destroyed upon receipt of the LDSS-3620 and 3621.  Also as a reminder, these new notices are to be used in the preparation of all Food Stamp claims that cannot be adequately prepared through the Client Notices System (CNS).

At the next reprinting, Transitional Benefit Alternative (TBA) language will be added to the manual notices.  For now, districts must write in the TBA language as instructed in 01 ADM-16 and GIS 02 TA/DC003.

•	LDSS-3152: “Action Taken On Your Food Stamp Case”
•	LDSS-3152NYC: “Action Taken On Your Food Stamp Case” (NYC)
•	LDSS-3153: “Continuing Your Food Stamp Benefits”
•	LDSS-3156: “Notice Of Food Stamp Overpayment (Demand Letter)” (Timely and Adequate)
•	LDSS-3156NYC: “Notice Of Food Stamp Overpayment (Demand Letter)” (Timely and Adequate) (NYC)
•	LDSS-3620: “Notice Of Intent To Change Food Stamp Benefits” (Timely and Adequate)
•	LDSS-3620NYC: “Notice Of Intent To Change Food Stamp Benefits” (Timely and Adequate) (NYC)
•	LDSS-3621: “Notice Of Intent To Change Food Stamp Benefits” (Adequate Only)
•	LDSS-3621NYC: “Notice Of Intent To Change Food Stamp Benefits” (Adequate Only) (NYC)
•	LDSS-3969A: “Notice of Action On Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services” (Part A)
•	LDSS-3969B: “Notice of Action On Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services” (Part B)
•	LDSS-4013A: “Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage” (Adequate Only) (Part A)
•	LDSS-4013B: “Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage” (Adequate Only) (Part B)
•	LDSS-4014A: “Action Taken On Your Recertification: Public Assistance, Medical Assistance, Food Stamp Benefits” (Adequate Only) (Part A)
•	LDSS-4014B: “Action Taken On Your Recertification: Public Assistance, Medical Assistance, Food Stamp Benefits” (Adequate Only) (Part B)
•	LDSS-4015A: “Notice of Intent To Change Benefits:  Public Assistance, , Food Stamp Benefits, Medical Assistance and Services” (Timely and Adequate) (Part A)
•	LDSS-4015B: “Notice of Intent To Change Benefits:  Public Assistance, Food Stamp Benefits, Medical Assistance and Services” (Timely and Adequate) (Part B)
•	LDSS-4016A: “Notice of Intent To Change Benefits:  Public Assistance, Medical Assistance, Food Stamp Benefits and Services” (Adequate Only) (Part A)
•	LDSS-4016B: “Notice of Intent To Change Benefits:  Public Assistance, Medical Assistance, Food Stamp Benefits and Services” (Adequate Only) (Part B).