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Nj Snap Interim Reporting Form 2013
Paper if needed to answer all the questions.
This action is based on Kansas Economic and Employment Services Manual Sections 9122 and 9372.
If you have questions or need help completing the interim report form, contact your local DCF office or
call 1-888-369-4777.
1.
Have any persons moved in or out of your home since you last reported? No
Yes
If yes, list the name and date of birth and mark whether they moved in or moved out of your home
below.
Name
Date of Birth
___________ _______________...
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