Interviewing: UpdatedEligibility: ADM-92 to Request Verification

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Follow these steps to use the ADM-92 form to request verification

  1. From the FACS Toolbar, click the “Generate Forms” icon.
    SNAP FACS Adm-92 window, with "Generate Form" icon highlighted.
  2. Select the “ADM-92” option, and click Generate Forms.
    "Generate Form" window open. "ADM-92" option is highlighted with a red box and a hand icon is pointing at it. The "Generate Form" button at the bottom is highlighted with a red box as well.
  3. Click the “Select” button to select the appropriate household member to request verification from, and click OK.
    Selecting a person name to whom ADM-92 is to be sent
  4. Click in the check box beneath “PROVIDE PROOF OF ITEM(S) CHECKED ON THE BACK OF THIS FORM.”
    The "ADM-92" form window is open. The check box beneath "Provide Proof of Item(s) Checked on the Back of This Form" is checked and the box and label are outlined in red.
  5. Enter a date in the yellow selected box. The date must be 10 calendar days. The date of request is date zero – count from there.
    .The "ADM-92" form window is open. The first text box on the page is highlighted in yellow and is the box for date entry.
  6. Enter “SNAP” in the box beneath “YOUR BENEFITS/SERVICES.”
  7. If you are requesting verification for an application, check the box next to “WILL BE DENIED,” and enter the application date in the “EFFECTIVE” box. Otherwise, check “WILL BE CLOSED” and enter the date of the next effective month.
  8. Fill in the boxes requesting uploading instructions and agency phone number.
    Section of the "ADM-92" form window open. The "Worker Email Address and/or Name" and the "Office Telephone Number" boxes have information filled out.
  9. Check the boxes next to each item that you are requesting verification for, using the text boxes to provide additional instructions to the client.
    Last section of the "ADM-92" form window is open. The check boxes below "Earned Income" and "Unearned Income" are indicated with red arrows. The "Generate" button at the bottom of the page is outlined in red.
  10. Click the “OK” button.
  11. Print the ADM-92 to mail or give to the client, and send a copy to OnBase for the case record.
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