FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner
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1 FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETIN # OPE REVISION TO DOCUMENTATION RECEIPT FORM (EXP-76R) Date: October 2, 2014 This procedure can now be accessed on the FIAweb. Subtopic(s): Form Revision The purpose of this policy bulletin is to inform all Job Center and Non Cash Assistance (NCA) Supplemental Nutrition Assistance Program (SNAP) Center staff that the Documentation Receipt form (EXP-76R) meets Local Law 73 requirements and will now be available in the seven mandated languages: English, Spanish, Arabic, Chinese, Haitian-Creole, Korean, and Russian. The form has been revised to include the LLF designation and is now available on the FIAweb in English and Spanish. All other languages will be posted to the FIAweb as the translations are received. Job Centers and NCA SNAP Centers must issue the EXP-76R to applicants/participants in their preferred language. A sample of the EXP-76R is attached. Effective Immediately Attachments: Please use Print on Demand to obtain copies of forms. EXP-76R EXP-76R (S) Documentation Receipt (Rev. 10/02/14) Documentation Receipt (Spanish) (Rev. 10/02/14) HAVE QUESTIONS ABOUT THIS PROCEDURE? Call then press 3 at the prompt followed by 1 or send an to FIA Call Center Fax or fax to: (917) Distribution: X
2 EXP-76R (page 1 of 2) LLF Documentation Receipt Application Recertification Employment Household Change gfedc gfedc gfedc gfedc Last Name: First Name: Case Number: Case Type: Address(bldg./house no., apt. no., street/avenue, borough, state, zip code): Telephone Number: Document received by: Date document received: Time document received: Documents Document submitted for Documents Documents submitted for Adoption Papers Military Services Record Auto Registration Naturalization Certificate Auto Title Pay Stub/Job Information Award Letter/Other Letter Photo I.D. with Address Bank Statement Pregnancy Statement Birth Certificate Property Tax/Mortgage Statement Checking Account Rent Receipt/Lease Citizenship Papers School Letter Death Certificate Separation/Divorce Papers Deed to Property Social Security Card Dependent Care Costs Statement Social Security Papers Disability Statement SSA Letter Divorce Papers SSI/Social Security Benefit Check Driver's License Statement from a Third Party Eviction Papers Support Check Stub Family Court Petition USCIS Documentation/Correspondence Health Insurance Policy/Card/Letter U.S. Passport Hospital Letter UIB Book/Letter Income Tax Return Unpaid Bills (utility, medical, rent) Landlord/Primary Tenant Letter Utility Bill Life Insurance Policy Vehicle Registration Card Marriage Certificate Veterans Administration Papers Medical Records Other: (see page 2)
3 EXP-76R (page 2 of 2) LLF Other documents Documents submitted for Human Resources Administration Family Independence Administration
4 EXP-76R (S) (page 1 of 2) LLF Recibo de Documentación gfedc Solicitud gfedc Recertificación gfedc Empleo gfedc Cambio en el Hogar Apellido: Nombre: Número del Caso: Tipo de Caso: Dirección (edif./núm. de casa, núm. de apto./calle/avenida, condado, estado, código postal): Número de Teléfono: Documento recibido por: Fecha en que el documento fue recibido: Hora en que el documento fue recibido: presentados para presentados para de Adopción Expedientes de Servicio Militar Matrícula del Vehículo Certificado de Naturalización Título del Vehículo Talón de Paga/Datos de Empleo Carta de Adjudicación/Otro Tipo de Carta Tarjeta de Identificación con Foto y Dirección Estado de Cuenta Bancaria Declaración de Embarazo Partida de Nacimiento Estado de Impuesto de Propiedad/Hipoteca Cuenta Corriente Recibo de Alquiler/Contrato de Arrendamiento de Ciudadanía Carta Escolar Certificado de Defunción de Divorcio/Separación Título de Propiedad Tarjeta de Seguro Social Declaración de Costos de Cuidado de Dependiente de Seguro Social Declaración de Incapacidad Carta de SSA de Divorcio SSI/Cheque de Beneficios de Seguro Social Licencia de Conducir Declaración de Tercera Persona Comprobante de Desalojo Talón de Cheque de Manutención Petición del Tribunal Familiar /Correspondencia de USCIS Póliza/Tarjeta/Carta de Seguro de Salud Pasaporte Norteamericano Carta del Hospital Declaración de Impuestos de Ingresos Libreta/Carta de Beneficios de Desempleo (UIB) Facturas Impagas (de servicios públicos, médicas, de alquiler) Carta del Casero/Inquilino Principal Factura de Servicios Públicos Póliza de Seguro de Vida Tarjeta de Matrícula Vehicular Certificado de Matrimonio de Administración de Veteranos Expedientes Médicos Otros: (vea la página 2)
5 EXP-76R (S) (page 2 of 2) LLF Administración de Recursos Humanos Administración de la Independencia Familiar Otros documentos presentados para
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Stephen Fisher, Acting Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policies, Procedures, and Training POLICY BULLETIN #10-104-OPE NEW ENTRANCE TO THE EAST
FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner
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OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Stephen Fisher, Assistant Deputy Commissioner Office
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETIN #17-01-OPE REVISION OF THE BRC-901C
FAMILY INDEPENDENCE ADMINISTRATION
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETIN # 14-131-OPE Date: December 12, 2014
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner Jill Berry, Deputy Commissioner Office of Program Support Stephen Fisher, Assistant Deputy Commissioner Office of Procedures
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FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
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OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner ` James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Stephen Fisher, Assistant Deputy Commissioner Office
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Stephen Fisher, Assistant Deputy Commissioner Office
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Matthew Brune, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures, and Training Stephen Fisher, Assistant Deputy Commissioner Office
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
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FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
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GUÍA DE ORIENTACIÓN PROCESO DE APROBACIÓN DE LICENCIA PARA OPERAR COMO CASA DE INTERCAMBIO DE CRIPTOACTIVOS EN LA REPÚBLICA BOLIVARIANA DE VENEZUELA
r1 GUÍA DE ORIENTACIÓN PROCESO DE APROBACIÓN DE LICENCIA PARA OPERAR COMO CASA DE INTERCAMBIO DE CRIPTOACTIVOS EN LA REPÚBLICA BOLIVARIANA DE VENEZUELA CONSIDERACIONES GENERALES Las Casas de Intercambio
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETIN # 17-46-OPE (This Policy Bulletin