FAA6.N Examples : 42 Denial Notice Example 1
42 Denial Notice Example 1
Clark submitted a renewal application on 05/26/17. After the interview, the Eligibility Interviewer (EI) mailed an Information Needed-NA (F011) notice, requesting income verification from U.S. Care and verification of terminated employment from HP-10. Clark provided the verification from U.S. Care, but not for HP-10. The renewal application was denied with the VI code. The (EI) correctly selected check boxes in the NA Deny/Closure (F200) notice next to.
We DENIED your Nutrition Assistance Renewal application.
Terminated Employment Income (keying the name HP-10 in the appropriate space).