SFN 202 - Group Homes and Drug/Alcohol Treatment Centers Monthly Listing 430-05-100-145

(Revised 10/19/2023 ML 3767)

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This form is utilized by the group home or drug/alcohol treatment center to report monthly on the individuals residing in the facility that are on SNAP. These reports are submitted to the human service zones.

 

This form is available through the Department of Health and Human Services and may also be obtained electronically via E-Forms