18 Miss. Code. R. 14-34.3 - Household Statement of Loss
A. Prior to issuing
a replacement, MDHS must obtain from a household member a signed statement
attesting to the household's loss.
B. The statement of loss will attest to the
destruction of food purchased with the original issuance and the reason for the
replacement.
C. The statement of
loss will also attest to the fact that the household is aware of the penalties
for intentional misrepresentation of the facts including a charge of perjury
for a false claim.
D. The household
statement of loss may be mailed if the household member is unable to come to
the office due to age, handicap or distance and is unable to appoint an
authorized representative.
E. If
the signed statement or affidavit is not received by MDHS within 10 days of the
date of the report, no replacement will be made.
F. If the 10th day
falls on a holiday or weekend and the statement is received by MDHS the next
business day, MDHS will consider the statement timely received.
G. The household statement of loss must be
retained in the case record.
Notes
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