FOOD ASSISTANCE DISQUALIFIED RECIPIENT REPORT Rev. 02-17
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INSTRUCTIONS: Complete this form and email to
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DCF.EBTMAIL@ks.gov within 20 days of the disqualification
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-524_FS_Disqualification02-17.pdf
FOOD ASSISTANCE DISQUALIFIED RECIPIENT REPORT Rev. 02-17
…
INSTRUCTIONS: Complete this form and email to
…
DCF.EBTMAIL@ks.gov within 20 days of the disqualification
…
https://content.dcf.ks.gov/ees/KEESM/Forms/ES-524_FS_Disqualification02-17.pdf