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[Title] Improving Food Stamps in Alameda County and Beyond [Author] Kevin Anderson [Year] 2006 [Publication Type] Field Reports [Community Focus] Advocates (including legal advocates), Community Members, Policymakers, SNAP/Food Stamp Recipients [Location] California, Domestic, Oakland [Description] Improving Food Stamps in Alameda County and Beyond is based on an in-depth analysis of the Alameda County Social Service Agency’s internal processes and how they can… Read more [Affiliation] Emerson Fellow [Body] 
Improving Food Stamps Alameda County and Beyond Recommendations Strengthen Social Services Agency Stamp Procedures Community Outreach Practices Kevin Anderson Bill Emerson National Hunger Fellow Bank Congressional Center February Table Contents Acknowledgementsp Forwardp Executive Summaryp Project Descriptionp Brief Overviewp Examining Service Agencys Application Processp Improve Proceduresp Strengthening Partnerships Countys Systemp Client Interview Tool For Denied Applicantsp Personal Reflection Experience Working for The the Bankp Appendices Background Federal Programp Glossaryp Office Visits Questionnairep Block Projectp Proposed Business Processesp Consent Release Information Formsp Acknowledgements Many extraordinary encouraging people have offered their knowledge feedback insight during course fivemonth field placement California supervisors Julia Martinez Elizabeth Gomez provided support guidance daily basis teaching tremendous amount about food stamps community challenges they face providing services lowincome individuals members Workgroup Melissa Daigle Jessica Bartholow Estelle Clemons Stephanie Nishio met with monthly provide overall project direction vision Aileen Carr Allegra Cira John Kelly Kristin rest staff encouragement throughout Most importantly all listed below inspired passion dedication bring serving needy residents best ideas contained this report belong following while any errors faults are mine alone Program Specialist Coordinator USDA Nutrition Western Region Statewide Manager Education Association Banks Action Partnership City Oakland Network Department Health Suzanne Ryan Associate Allison Pratt Director Policy Winnie Timothy Roberts FinancialCommunication Brigit Adamus San Francisco Barbara MkNelly Research Scientist Fellowship CoDirector Workforce Benefits Administration Assistance Committee FANOut Welfare Directors CWDA CDSS DHS WRO would also like extend special thanks clerical eligibility many whom interviewed examined stamp application process Finally thank who shared experiences system participating pilot testing client interview tool Forward program CHC bipartisan government nonprofit organization that seeks eradicate hunger developing leaders Each year places Fellows across country assignments out followed policy assignment Washington member twelfth class placed SSA ACCFB partner Bay Area was completed cost assessment various outreach models employed counties several west coast states including Summary During fall partnered develop countywide network increase participation rate Since initiative began Based Organizations CBOs prescreened over has experienced percent its NonAssistance NAFS caseload Despite these successes ultimately denied high applicants failing finish indepth analysis SSAs internal processes how can interface external efforts presents series suggestions improving processing crafted reports recommendations goal formulating effective viable local level Although particulars directed toward broad themes proposals applicable elsewhere Moreover undertaking focused examination countys from dual perspectives social agency CBO relevant United States should Develop phonein using hotline Ensure standardized procedure exists Emergency Streamline office orientation Increase number intake timeslots align them waiting room FSonly workers Continue expand language capabilities locations Promptly scan incoming mail available Explore consolidating duties work behind scenes prepare applications Consider reinstating modified expanded Contact Unit Formalize important procedural changes official Processes operating procedures Require four track ensure delivery advocates partnership Introduce authorization release information forms into Expand certification Move setup allows complete entire explore development electronic Blend new proposed Conduct media campaign Between November households receiving increased Participation Benefit Issuance Report Sacramento Available httpwwwdsscahwnetgovresearchDFAFoo_htm Description This culmination working designed both host organizations other interested reforming county programs narrative observations collection documents tools developed along way well useful set administration charged strengthening relationship between policies Pursuant those goals tracking through examine barriers approval Then conducted interviews assigned approximately understand processed interviewing applied but failed tested sample October December hope builds previous two years Rachel Lopez worked Los Angeles Regional comprehensive action items improve Californias Her issues such streamline conditions offices partnerships among service providers reduce state federal obstacles helped generate greater awareness major shortcomings facing levels Last Dennis Barrett Laura Tatum Fresno Tulare were tasked establishing respective much currently place They embarked ambitious highly successful involving creation task forces enrollment workshops Their nonassistance rates August involves whole especially networks oneon one assistance model harmonizes Having arrived framework already opposed been finetune Alamedas ways effectively potential applicability joint See Sharp Matthew Serving Solutions Publication Advocates Growing Wealth Central Valley FoodLink httpwwwdsscahwnetgovresearchrespdfDFADFAaugpdf permitted take step further offer based inhouse experience Along Brigits costeffectiveness study which will inform positive negative attributes popular help systems tailor techniques Our casestudy approach analyzes specific associated examines augment enhance tangible concrete evaluated addition think our projects aid adopted innovative refine implementing more dramatic initiating future first section provides background regarding second details findings sections three some strengthen area fifth intended uses learning six personal reflection Overview With million insecure residing today realistic solution pandemic seems require national response giant reach scope Volunteers churches pantries soup kitchens nation struggle meet immediate need vast group hard limited resources However unable sustainable lasting problem poverty America Even governments most basic safeguard against reveals crafting sweeping antipoverty legislation Just because appropriates money does not mean recent data indicates eligible received EWs determine entitled receive continually balance complex regulations requirements arise political compromises inherent legislative Here front lines onesizefitsall clashes intricacies cities making difficult poor prompted State Castner Schirm Reaching Those Need Rates Mathematica Inc initiate simplification measures found only accessing emergency despite fact surveyed income figure down possible indication faced obtaining Beginning late initiated Promotion involved training prescreening oneonone likelihood administer funding willingness organize partners instrumental enabling occur past continued held trained roughly prescreen date finding potentially sustained enroll than half generated preventing increasing could majority reasons failure essential attend facetoface bodes poorly nutrition expends personnel each time order must approvable located East Side stretching Berkeley north Fremont south Dublin Livermore possesses extremely diverse population twothirds coming Barthalow Chanse Ursula Marquez Lily Glesman Caroline Faces Facts administered oversees final interpretations author Ibid These numbers Lao Family Development lead There accurate record true total httpwwwdsscahwnetgovresearchDFA Foo_htm nonwhite mixedrace backgrounds terms minority groups breaks Asian Hispanic blackAfrican American racial nearly born foreign countries statistics live line average however considered five expensive makes even families slightly above threshold afford living expenses estimated family per Target Populations focus immigrant populations September gains Spanish Englishspeaking Individuals speak languages actually net decrease period sparking concern diversity ethnic Projects Steering convened benefits identified access complicated rules confusion public charge sponsor liability fear disclosing immigration status security fluent Middle Eastern engaged Census Metropolitan Transportation Commission httpwwwbayareacensuscagovcountiesAlamedaCountyhtm Poverty Spreads CNN Money httpmoneycnncomnewseconomypoverty_survey Worlds Expensive Cities June httpmoneycnncompfcostoflivingcnnyes Equal Rights httpwwwequalrightsorgwelfaressavghtm Economic Institute httpwwwepinetorgdatazone Budget httpwwwcbporg_mempdf refers without cash When someone receives welfare Temporary Needy Families TANF referred Public Immigrant Grant Request Submitted Process primary efficiently accurately assembled pool months First tracked isolate factors worker actions common denial Simultaneously cases categories standard taking consideration impact recently implemented determination called CalWIN describe modifications devised myself allow applicant ever visiting discuss conducting overview results present limitations current improvements drastic significant monetary costs Visiting Offices North Multiservice Eastmont SelfSufficiency Enterprise Eden serve different geographic within array clients CalWORKS MediCal General multiservice centers equipped variety open door meaning submit varies extent depending whether individual mailsin submits person although adoption promoted uniformity positions Mailroom Clerks Eligibility Support Data Input OngoingIntake Electronic Determination Software there determining Case System WCDS Interim Automated outstations materials outstation Hayward INTAKE Model CALWORKS read outside employees Consequently attached glossary familiar terminology ISAWS Consortium CIV Evaluation Reporting LEADER replacing Eighteen adopting windowsbased software switched commandline style since compatible promises modernize standardize Once works initial kinks glitches CalWINs numerous example permits real editing case whereas revisions made required oneday delay view Likewise automates wide previously manual appointment scheduling benefit calculation userfriendly windows automatically screens fields tabs according send alerts enables notify automated Transfer EBT Quality Control MEDS Every operates perform maintenance functions generally fewer where independently administers Human profiles determinations use significantly adopts implement hence highlyadvanced input calculate spot speeds reduces error compared tasks Nevertheless agencies capable manually event temporarily fails All Systems Profiles httpwwwacfhhsgovnhsitrcappsmainjsppageIDlistprofiles list January July Placer Yolo Santa Cruz Clara Solano Contra Costa Sonoma Mateo Orange Ventura Luis Obispo Diego Modern computer employ graphical user interacts menus icons text graphics Before interfaces used interacted simple textonly prompts About Walkin Procedure Prior implementation differing walkedin apply panacea considerable walks she goes booth clerk ascertains purpose visit determines database distributes registration packet attends decide what type Concurrently registers Under Finger Imaging SFIS requirement until next day once takes customers finger image meets Intake verifications documentation seeking ESFS concurrently authorize Clerk Resolve discrepancies clearance Print SAWS sign Referrals Work Domestic Violence etc Give Appointment Direct fingerprinting New Applicants lWIN INT SOCIAL WORK SERVICES SSI Advocacy Children Problem Resolution Mental Substance Abuse Homeless Documents scanned Registration Person Receive Packet CWINCIN clearances Number Routing Send ESC ORIENTATION CalWORKs Complete Collection Accept submitted obtain signatures letter print givemail Immediate Authorization issuance Calculation IEVS review Fingerprinting satisfied cleared Automatic notification Employment PROGRAM INTEGRITY Investigations Appeals Compliance FINGERPRINTS Approval Group Brou CHASS FSET before Determine Traffic log entries Clear Appication Orientation after Paper Ongoing Assignment general needed register III addressed Certain pertained minute had significance implications outline Promoting create customerfriendly turn easier boost visits opportunities Fewer less congestion walkin decreased demands rooms Recommendation mailin Key Points able call phone request back hardship determined then return days reminder notice sent similar applying enable certain hardships draw heavily existing mailed explain courtesy returned waiver instead completing telephone his her caseworker DFA Part Statement Responsibilities NOA actual returns signed detail see Moving Outside Appendix Presently options facilitate remote mailinprocess begin option leisure selects part authorized representative remaining portions preserved OneEApp Authorized hospitals clinics quick easytocomplete Unfortunately prevent innovations prohibit regardless when took avenue single measure reinstated CCU ongoing carryover minimal shelter expedited While regular largely few still burden threeday questioned obtained conflicting responses Some indicated periodically either forwarded passed cannot expected timeframe Other noted point end month caseloads capacity consistent uniform mentioned importance What Are Gettingfoodstampsorg Boston httpwwwgettingfoodstampsorgemergencyfshtm screening upfront indicating improved arrive desks beyond limit unless personally requests form responsible Shorten video removing quarterly reporting Explain waiving trip slots warrants chose attended consisting oral presentation describing types scheduled every hours showing informational everyone make informed decision choosing fill technology matter minutes attending registered requiring result extra arrives afternoon may Thus consider content confusing portion informative relatively easy follow delves responsibilities recipients introduces lot better served removed explains Reduce customer wait grow accustomed harmonized offering returning Like conduct preset times morning midafternoon timeslot sometimes fillingup early might same last slot later reexamined conjunction Adding additional alleviate get comfortable ability likely arrivals waived leaving Only establish contact possessed generic upcoming hiring cycles designate roles pairs lacking just creates problems revealed far correct represented Notice schedule always Missed recommend normal allocated apportioned thus enhancing automatic correspondence English Mandarin Vietnamese Cambodian insert Notices NOAs inserted appears More suggesting underserved decisions Another topic surfaced issue went existed effort locate bilingual explained translate key hand speaking default coded prints certainly right supplement remains requested wage stub utility bill appear requires particular reaches begun setting lower casebycase practice spoken comparison shows higher percentage Count Specifically Workers though Requirements Language Letter httpwwwdsscahwnetgovcdssweb formal going doing caseby chicken egg Without remain low speaks earlier increases come Spanishspeaking Accordingly nonEnglishspeaking electronically Mail Box administrative headquarters ensuring promptly distributed being webfiles expressed knowing copy Currently follows varying paths main turns Conversely something directly street address delivered large pressures stressful WBA converting online files efficiency lost creating CDS imaged except pertaining Because volume initially sends imaging immediately rather rerouted paper scanning backlog weeks frustration crucial move quickly Demographic Profile httpwwwacphdorgAXBYCZAdminDataReportsachsr_demographicpdf Quarterly Trends httpsalamedasocialservicesorgpublicpdfsquarterly_reportsQR__pdf mention nonEnglish translator partially gap Broadway division implements temporary clerks swiftly dramatically compartmentalized maintaining altered eliminated combining steps reaching observed frequently impacts continue reverberate continual reexamination mailroom flow under business After entered assigns availability brings Now becoming paperless sense assume roll appropriate clear function cataloguing become mechanized handle assigning Therefore possibility worth considering balanced advantage arrangement Labor reassignments configured due definitions appointments others responsibility away week adopt intentionally neglecting prior leave absence expectation speed size allowing own never Instead comprised threefive behalf meeting advantages disadvantages plus side strapped meetings draining presence helps timely fashion seen intermediary miscommunications needs situation positives negatives evaluation Properly staffed Using simply requesting vacation illness reassigning extended maternity surgery caseworkers twoweek maintain encountered situations sixweek spent unserved allowed lapse communicate exploring urgent specifics tricky neglect leaveofabsence hopes catch planned update departing instances unplanned responded given impossible hire enough unnecessary reduced drop unexpectedly Worker Performance related highlighted misconceptions practices tenured fail proper weakened communication attributed manage newsletters halfday sessions theoretically remedy Changing behaviors longtime challenge repeated Finding inconsistency keeping informing missed reschedule ample Unless clearcut resource ineligible student comply completes deny satisfies sending reevaluated outlined NOMI misses drops Regulations Manual Division Section respond synchronize essentially treatment happens Letters clearer mainly succinct direct specifies calling rescheduling now asked harbor myths Twothirds aware substituted divergent views constituted Less onefourth knew postponed lacked harbored confusions notions felt mobility serious Others correctly understood comes tantamount refusal sole words consistently understanding Frequently believed volunteers interpreted incorrect incomplete often asking why regularly actuality contain assist Important periodic formalized top Circulate management Roadshow mandatory Supervisory programmatic Build reminders you straightforward Significant liberal postponement circulated Improvement Panel Meetings sufficient circulate tip sheets incentives mass email newsletter change alterations trickle Roadshows Not letters verify built remember ask checked warrant closing Internal codified biannual hour toface selectively claim somewhere inventoried spreadsheet perennial One Clerical Supervisor inventory noting arrival Eastmost format Tracking followup long attention Reforms changing commitment feasible none substantial authorizing learned driven role assess whatever gaps Effective therefore operations gained another paving collaboration Agreement necessary privileges granted statewide Several health fillout certified hospital clinic readonly unique Known Patient Technicians PST submitting enabled gain circumvent confidentiality closely employee contacts timeconsuming inefficient placing share pay participants hail committed payment sources Initially idea certifying expanding proposal workable engage consultative agree grant Ideally CAFB approved expertise relations start introducing consent concerns agreement overwhelm calls ties introduce Second Harvest Benito Counties tracks reason resident widespread overwhelming put agreed suggest Memorandum Understanding MOU specifying piloted handful confused element know lapsed opportunity encumber greatly Email education file include provisions keep confidential rare circumstances Rare violation resort Greater sharing developments consequence permitting parts beneficial ripple effect Initiating SSACBO described Permitting Caseworkers spend Similarly simplify OneEApps Healthy Kids Indigent Care shown interest Earned Income Tax Credit Enrollment piloting Screener linkages labor agreements reported believe wwwoneeapporg Coffey Sean Holsclaw Abby Bosland Julie Screening Tools Help Access League Insitute Youth PSTs consumers efficient contains check feature According Marsha Rice stages shortly thereafter Child Disability Prevention CHDP website inclusion Women Infants WIC Mothers AIM Kaiser Cares Permanente Plan CalKids stage parallel beginning investigated expansion OneEApplications discussed Harmonize quarter translating compatibility Cantonese add recruit refer How Works HealthCare Foundation httpwwwoneeapporgworks Programs OneEAppCalifornia Healthcare httpwwwoneeapporgworksindexcfmsubclassCLnlvl via Both routes soon drawing adapt latest center deemed applies improves hardtoreach immigrants illiterate perhaps means granting comparable exemption constitutes Furthermore permission mounting evidence campaigns costeffective coincide creative maximize effectiveness Evidence continues accumulate technique nonparticipants lack Study barrier Knocking Down Barriers Short Progress httpwwwcfpanetforum_materialsbarrierspdf Bartlett Susan Burstein Nancy Eligible Nonparticipants Cambridge Abt Associates May concluded component multifaceted Free conclude sectors advertising educating varied mediums broadly communicates messages absolute Arizona dollar range culturally sensitive television multiple prepared novel spread simplified undertook test survey examining abandon attempt banks utilize vulnerable identify Limitations Previous workgroup stressed research dropped threepart released Aisle Showcase CostEffectiveness publication USDAs Gabor Vivian Hardison Lynne Botsko Christopher Local Policies MCA Hamilton William Final Assoiciates specifically subgroup nationwide upon break small choose participate presumed ineligibility near consists visited contacted sixtotwelve inquire subcategory similarities happened concludes inability compile prevented did depth deterred note nonparticipant supporting told unfinished Designing objectives MPH decided uncover intentional degree itself characteristics firmly authored draft questionnaire completeness understandability methodological soundness Due fullscale statistically raised context extends walk ten speakers revised educational ready researchers Intended Use strain communitys decides alert discredit Learning Pilot Interviews Subjects Sometimes Get Off Track Frankly subjects giving full express gratitude viewpoint listen peoples steer Call Survey question learn Expect Confusion You dont expect distinctions blend together tell Repetitiveness Early participant feel very explanation questions spark memory yield Content ascertain suit want increasingly methods Did method performed revealing Have your kept Was written Would say waswere somewhat notices translated yet attempts find done Why seek particularly fulfill longer timeline gather records show paperwork changed mind getting withdrew Which probed indicate tried assemble try Were look attempted statements describes too kind remove serves purposes gathers Secondly explores perceptions financial deem elderly couple disqualifies hurdles finishing answers represents hypotheses assumptions trouble Items added anything components hinder chance promoting Question completion citizen concentrates cause openended aspect frustrating challenging articulate agencys contributed points thoughts biggest navigating gauntlet Findings intent surveys qualified investigation presented here studies sizes ranging difficulty assembling communicating transportation disability differed NonEnglishspeaking checks Questions LargeScale Studies decline largescale observe overlapping versus company foremost exist scale thousand pounds annually supplying acting referral mechanism qualify jointly extensive realized devises inventive fully legality practicability plan explaining render unfeasible helping contacting rejected wishes ACCFBs administrator integrity advocate power impedes delicate position notifying frustrated delays played fix staffing httpwwwaccfborgabout_ushtml guidelines disqualify central clearinghouse firstline feed hungry lives authority actualize solutions systemic intersecting saw improvement Fortunately demonstrated maximizes diligent sides abilities notifies produced complaint understands vital constructive expands bank disadvantaged suffer APPENDIX modern permanent Act Agriculture Consumer Protection entirely funds split Legislation reauthorizing Farm omnibus body seven addresses farm subsidies rural agricultural trade allowances redeemed products rollout decade accessed debit card vouchers primarily underprivileged students household Thrifty estimate lowcost nutritious meal Guidelines Household Composition begins composition defined roof purchase meals factor age older children parents separately History httpwwwfnsusdagovfsprulesLegislationhistoryhtm Also httpwwwfracorghtmlfederal_food_programsprogramsfsphtml Bills Agricultural Law Fayetteville httpwwwnationalaglawcenterorgfarmbills Recipients httpwwwfnsusdagovfspebt And httpwwwfnsusdagovfspapplicant_recipientsfacts_Ehtm httpagriculturesenategovLegislationCompilationsFNSFSApdf Resources gross translates accounts estate property stocks bonds exempted home belongings life insurance Depending vehicles limits disabled Deductions uncounted deductible Examples rent mortgage bills dependent childcare legally owed childsupport payments medical exceed Citizenship citizens noncitizens Immigrants refugees asylees reside fiveyear sponsored affidavit promising condition admittance becomes battered destitute quarters dies deeming ablebodied adults ages dependents job Ablebodied ABAWDS exceptions Special Rules Elderly Disabled httpwwwfnsusdagovfsprulesElderly_Disabledhtm httpwwwfnsusdagovfsprulesmemopolimgrthtm rule sponsors Immigration httpwwwnilcorgimmspbsfnutrfoodnutrhtm grants waivers Students institution least federally financed parent care child High school subject myriad impose Supplemental Security IncomeState Payment SSISSP Requirement federalstate raise allotment Over Congress costofliving alter SSP cashout March allowance remained disagreement maintained recipient counted adult physically fraud images easily attempting simultaneously multipleaid Opponents argue infrequency suspected minuscule Arnold Autumn Marinacci Amy CashOut Harm httpwwwcfpanetCashoutinCApdf httpwwwdsscahwnetgovfoodstampseligibilit_htm spends costineffective rolled considerably strengthened antifraud leeway departments satisfying Varying Households pertinent housing citizenship departure gave moved predicted threemonth periods administrators freedom interpret communities detailed fingerimaging location rigidly FNS deviations accommodate Asked Save Fight Government Waste End httpwwwcfpanetlegislationagendasignonFAQFingerimagingpdf Analysis Provisions Affecting httpwwwfnsusdagovcga_Farm_Billfood_stampshtml Governments Waivers Certification httpwwwfnsusdagovfspgovernmentlegislation_rules_certhtm countyspecific department regional fundamental safety selfsufficiency eating documented severe Appalachia regions suffering diseases caused malnutrition illnesses targets poorest Americans falling combines revenue earning minimum EITC accounting purchasing allotments wisely spending vegetables fruits grain meat alternatives threefourths recommended values vitamins minerals Rosenbaum Dorothy Neuberger Reducing Bolstering Priorities httpwwwcbpporgfahtm fulltime produce dollars respectively Making Stronger httpwwwfnsusdagovoaneMENUPublishedFSPFILESOtherFSPProfilepdf Difference Make Poor Source Bread World achieves nutritional manner reductions achieved delivers Ninetyeight flexible design strength Entitlement guaranteed anyone criteria governmental budgetary constraints thirty fluctuated sync deductions Medicaid Frontline Issues httpwwwbreadorglearnhungerreportshungerreportdownloadhtml Super David Smarter httpwwwcbpporg fahtm Title httpwwwersusdagovfeaturesfarmbilltitlestitleIVnutritionprogramshtm Communities broader billion expenditures generates economic activity jobs outlays funded growing economies millions stimulus influence pursue misinformation dissuade otherwise Twentyseven category desire independence bulk Misconceptions Lack Regarding heard Concerns unaware rubric longstanding classification rely residency gives legal Receiving noncash Hanson Kenneth Golan Elise Effects Changes Expenditures Across Economy httpwwwersusdagovpublicationsfanrrfanrrfanrrpdf httpwwwuiuceduunitoisaOISAServiceHealthCareInsurancepublicchargehtml repay repaid Distrust corrupt regimes possess genuine distrust trusted target engaging Obstacles stemming successfully Quite trips drivers license stubs inflexible energy perseverance discourage Desire Independence Stigma Among actively cite motivating stigma discourages psychological outweigh perceived Low Expected third hassle close inconvenient operation missing Chen McLaughlin Dan ManaloLeClair George Best httpwwwcfpanetfoodstampsBestPracticespdf Burnstein Glossary stationed DIC registering intermediate answer created approve sort deliver Carryover assign known hold retroactive original Webfiles embarking digital web whereby Questionnaire Staff Medical andor Who codes Take stepbystep Note give verification fingerprinted screen noticed valid waive lenient cards Can exempt tickler cheat sheet Julies interpreting happening things Advantage tax season April newly connect onto preparation preparer headed Emmanuel Saez Diane Schanzenbach Stacy Dean Golden decreases instructed nearest block capability httpwwwdsscahwnetgovgetinfoacinpdfI_pdf dean scholars University CaliforniaBerkeley Chicago People grouped randomly Meeting Brian Plunkett Current Mailin Phonein Phone App Applicant chooses mails keeps precreen clears signs clinichospital Supervising ends taken transmits populate CalWin maintains Sends Day Reminder invalid starts resubmitted accepted populated generating stay pending SupervisingEW Informational monitors timeframes Determined Fall forwards Forms AUTHORIZATION FOR RELEASE INFORMATION voluntarily representatives active disclosure document good revoked writing Autorizacin Para Revelar Informacin voluntariamente autorizo Agencia Servicios Sociales que revele informacin representantes del Banco Comida Esta incluye acerca caso estampillas para comida propsito recibir asistencia durante proceso aplicacin cuando sea necesario tiempo cual este activo ser revelada incluya previa igual creada dentro meses despus esta autorizacin firmada fechada Entiendo solo usada ayuda documentar elegibilidad beneficios valida por revoqu escrito Full Name Nombre Completo _____________________________________________________________ Nmero Seguro Date Birth Fecha Nacimiento ________________________________________________________ Address Direccin disclosures ledo han forma acuerdo Signature Firma Chinese _____________________________________________________________________ _________________________________________________ ______________________________________________________________ ______________________________________________________________________ __________________________________________ _________________ display properly version word font CHO PHP TIT THNG TIN nguyen cho php Quan Dch Hoi tit hay ton thng tin ban diu hnh hoac dien Ngn Hng Pham Cong Dng dch cung gip trong nop xin thit khi kch hat vng sau ngy giy dng sao mau trn hieu rang viec kien hng tem phiu thc pham Giy bang van name ________________________________________________________________ Sinh _____________________________________________ Ngy nghe ______________________________________ __________________ Goals withdrawal reservations cumbersome nature dislike officials intrusion appearing difficulties inadequacies uninformed interviewSFIS securing Better contribute Directions Interviewer THE INTERVIEWER SHOULD ONLY READ STATEMENTS INSTRUCTIONS ARE UPPER CASE MARK ALL ANSWERS BRACKET SPACE PROVIDED NEXT EACH RESPONSE _X_ SEVERAL PLACES DURING SURVEY THERE OBTAIN SPECIFIC EXAMPLE FROM APPLICANT CLIENT HAS NOT ANSWER AFTER STATED QUESTION BEEN ASKED FOLLOW WITH please DOES REMEMBER KNOW NOTE THAT Good Afternoon _______ _____ ___________ trying okay gift certificate ___ Received From SPECIFY friend advertisements promotions source ________________________ Yes SKIP SECTION yes SPECIFY_________________________ SPECIFY___________________________________________________________________ Describe ________________________________________________________________________ Dont REPEAT QUESTIONS LETTER RECEIVED NONENGLISH SPEAKERS NUMBER Very Somewhat bWhy ASK EXPLANATION WHY _______________________________________________________________________ Going Calling Mailing Anything else SLOWLY NECESSARY Writing Your MUST CHOOSE ONE RESPONDED MORE THAN POSSIBLE PLEAE Please let ones sick PROBE WHAT TYPE ____________________________________________________ LIST REASON convenient ASPECT APPLICATION interaction unpleasant WAS SPECIFICALLY UNPLEASANT afraid hurt application________________________________ Printing investigate criminal elseSPECIFY Characteristics NONCITIZENS worried couldnt INTERVIEW SUBJECT Thank Within STATE APPROPRIATE LENGTH TIME thanking answering Thanks again
Congressional Hunger Center » Subject Areas » Domestic Federal Nutrition Programs
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