This section provides procedures for completing the “FOR OFFICIAL USE ONLY” block in the upper right-hand corner of page 1 of the SSA-8203-BK.

Completion of the “FOR OFFICIAL USE ONLY” block is self-explanatory except for the following:

Check The Ones That Apply

Check off all of the following that apply to the case:

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  C - change in eligibility or payment amount.

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  NC - no change in eligibility or payment amount.

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  M - face-to-face interview conducted (SSA-8203-BK).

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  N - telephone interview conducted (SSA-8203-BK).

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  FS-APP - food stamp application taken.

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  FS-REF - food stamp referral.