Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.96-016 - Action Taken on Administrative Disqualification Hearing/Waiver on Food Stamps

Current through Register Vol. 49, No. 6, June, 2024
INSTRUCTIONS DCO-256
Purpose
The DCO-256 is used to notify individuals of their
				disqualification period when they are found guilty of an IPV through an
				administrative disqualification hearing or when they sign a
				hearing-waiver.
Completion
1. Enter the name and address of the
			 individual found guilty of an IPV.
2. Enter the county office address and
			 telephone number.
3. Under "Notice
			 to Disqualified Individual" address the form to the individual found guilty of
			 an IPV. Enter that individual's social security number. Check the appropriate
			 boxes to indicate the reason for disqualification and the period of
			 disqualification. If a hearing was held, enter the month date and year of the
			 hearing. If the disqualification period will end, enter the number of months
			 the disqualification will last. Enter month and year to indicate when the
			 disqualification will begin and end.
4. Under "Action on Your Food Stamp Case",
			 enter the name and social security number of the casehead. Enter the name of
			 the individual who is disqualified. Check the appropriate box to indicate the
			 action taken by the county office. If the food stamp allotment is changing,
			 enter the new allotment and the effective date of the change. If the case will
			 close, enter the effective date of the closure.
5. Sign and date the form.
Routing
Original to disqualified household member. Copy to case record.
				Copy to Overpayments Unit, Slot 3005.
Retention
Three years from the date of fiscal or administrative closure.
				See FSC 410.
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YOUR RIGHT TO APPEAL THE ACTION ON YOUR FOOD STAMP
				CASE
If you do not agree with the action we plan to take on your
				food stamp case, you may ask for a hearing. If you wish to discuss your case
				with the DHS County Office before you ask for a hearing, contact the person who
				signed this notice.
You may call or go into the DHS County Office to ask for a
				hearing. You may also ask for a hearing by calling or writing directly to the
				Appeals and Hearings Section. The address is given below.
Arkansas Department of Human Services ATTN: Appeals and
				Hearings Section, Slot 1001 Little Rock, AR 72203-1437 (501)682.8622 TDD for
				Hearing Impaired 1-800-285 -1131
YOUR RIGHT TO APPEAL THE ACTION ON YOUR FOOD STAMP CASE
If you do not agree with the action we plan to take on your
				food stamp case, you may ask for a hearing. If you wish to discuss your case
				with the DHS County Office before you ask for a hearing, contact the person who
				signed this notice.
You may call or go into the DHS County Office to ask for a
				hearing. You may also ask for a hearing by calling or writing directly to the
				Appeals and Hearings Section. The address is given below.
Arkansas Department of Human Services
ATTN: Appeals and Hearings Section, Slot 1001
Little Rock, AR 72203-1437
(501) 682.8622
TDD for Hearing Impaired 1-800-285 -1131
INSTRUCTIONS DCO-259
Purpose
The DCO-259 is used to notify individuals of their
				disqualification period when they are found guilty by a court of an intentional
				program violation (IPV) in the Food Stamp Program.
Completion
1. Enter the name and address of the
			 individual found guilty of an IPV.
2. Enter the county office address and
			 telephone number.
3. Address the
			 notice to the individual found guilty of an IPV. Enter that individual's social
			 security number. Enter the date of the court decision. Enter the full court
			 decision. Check the appropriate box to indicate the period of disqualification.
			 If the disqualification will end, enter the number of months the
			 disqualification will last. Enter month and year to indicate when the
			 disqualification will begin and end.
4. Under "Action on Your Food Stamp Case",
			 enter the name and social security number of the casehead. Enter the name of
			 the individual who is disqualified. Check the appropriate box to indicate the
			 action taken by the county office. If the food stamp allotment is changing,
			 enter the new allotment and the effective date of the change. If the case will
			 close, enter the effective date of the closure.
5. Sign and date the form.
Routing
Original to disqualified
				household member. Copy to case record. Copy to Overpayments Unit, Slot
				3005.
Retention
Three years from the date of
				fiscal or administrative closure. See FSC 410.
E. prepare a written, documented report at
			 the completion of the investigation for referral to the Prosecutor;
F. complete the DHS-1208 for referral for an
			 Administrative Disqualification Hearing;
G. administratively close the investigation
			 if, at any stage of the inquiry, the investigative staff determines that the
			 case is not suitable for prosecution or for referral for an Administrative
			 Disqualification Hearing;
H. notify
			 the DHS referral source of the disposition of the investigation and return
			 copies of the case record to the County Office.