TO:  Commissioners; TA Directors; FS Directors; WMS Coordinators, Staff Development Coordinators, Forms Coordinators

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

SUBJECT:  IPV Notices for PA and FS Now Available on OTDA Forms Website

EFFECTIVE DATE:	Immediately

CONTACT PERSON:	
For TA IPV Policy Questions:  Central Regional Team at 1-800-343-8859, ext. 3-1469
For FS IPV Policy Questions:  Eastern Regional Team at 1-800-343-8859, ext. 3-1469
For Forms Questions:  Bob Gullie at 1-800-343-8859, ext. 6-1095

This is to notify local districts that the following revised Intentional Program Violation notices are now available for downloading and use from the OTDA website:

LDSS-4827: Intentional Program Violation Disqualification Notice for the Public Assistance Program
LDSS-4827 NYC: Intentional Program Violation Disqualification Notice for the Public Assistance Program (NYC) (NYC Version) 
LDSS-4799: Intentional Program Violation (IPV) Disqualification Notice for the Food Stamp Benefits (FS) Program 
LDSS-4799 NYC: Intentional Program Violation (IPV) Disqualification Notice for the Food Stamp Benefits (FS) Program (NYC) (NYC Version)

Previously, if local districts were unable to use CNS to notify a client of an IPV, they had been instructed to photocopy and use the combined PA/FS IPV manual notice that had been issued in 97 ADM-23.  Local districts should destroy all copies of that combined manual notice and must now use these notices when clients are not advised of an IPV through a CNS notice.

The link to the LDSS E-Forms site where these notices can be viewed and downloaded is:

http://sdssnet5/otda/ldss_eforms/default.htm 

If a local district is unable to download these notices, they can request camera-ready versions by using the procedures described below.

Requests for camera ready copies of the LDSS-4827; LDSS-4827 NYC; LDSS-4799 and LDSS-4799 NYC should be submitted on should be submitted on OTDA-876 (Rev.6/98): “Request For Forms or Publications” and should be sent to:

Office of Temporary and Disability Assistance
Document Services
P.O. Box 1990
Albany, New York 12201

Questions concerning ordering forms should be directed to Document Services at 1-800-343-8859, ext. 4-9522.