1150.000.00 REPLACEMENT ISSUANCES

IM-#68 October 18, 2010IM-#63 August 31, 2009IM-#80 August 28, 2006IM-#103 October 4, 2004IM-#38 March 26, 2002IM-#87 June 29, 1999

Food stamp benefits are replaced when EU timely reports:

Food stamp benefits are not replaced when:

The report of the loss may be made by telephone, mail, or in person, however a member of the EU or an Authorized Representative must sign the IM-110 Replacement Request form before processing.

To be considered a timely request, the EU or its authorized representative must report the loss of benefits or food within ten days of the loss. The ten-day deadline to report the loss of food purchased with Food Stamp benefits is calculated from the date the loss first occurred. If the ten-day time period has passed, continue to accept requests for replacement. The IM-110 Replacement Request form must be completed within ten days of reporting the loss. The form is considered timely if the tenth day falls on a weekend or holiday and the form is received the day after the weekend or holiday.

EXAMPLE: Mr. A's house burned on August 1 and he lost all his food. Mr. A has until August 11 to report the loss of the food. Mr. A reported the loss on August 10. He has until August 20 to complete the IM-110 form to be considered a timely request.

NOTE: If the 10th day falls on a weekend or holiday, the deadline is extended to the next business day.

Before issuing a replacement benefit, check the Payment History (FM5F) screen for a replacement issuance to avoid duplicate issuance. If a replacement has been issued to the EU, a second request may be made if the EU has discovered an additional loss exceeding the original request. The total replacement cannot exceed one month's benefits. If the EU has completed more than one request contact the EU to determine the total amount of the loss. If two replacement requests are made for the same loss, deny the second request. Notify the EU of each decision by sending an IM-112 Action Taken on Your Food Stamp Case.

Replacement issuances must be provided to households within ten days of reporting the loss or within two days of receiving the completed and signed IM-110 Replacement Request, whichever date is later.

Replacements are limited to two replacements in six months for Food Stamp benefits lost from an EBT account. There is no limit on the number of replacements for loss of food purchased with Food Stamp benefits which was destroyed in an EU misfortune.

1150.005.00 FOOD STAMP BENEFITS LOST FROM AN EBT ACCOUNT

IM-#68 October 18, 2010IM-#63 August 31, 2009IM-#9 January 30, 2008IM-#80 August 28, 2006

The IM-110 Replacement Request form is used to provide the Eligibility Unit a method to request replacement of Food Stamp benefits lost from an EBT account. FSD staff will use this form to document the decision regarding the request.

This form can be completed by a member of the Food Stamp EU or the authorized representative. A write-up regarding the EU's statement and any additional information received is all that is needed for benefits lost from an EBT account. Explain when the card was reported lost or stolen, the date of the loss and any additional information important in making the decision. The EU is not required to provide a police report.

The report of the loss may be made by telephone, mail, or in person however, the IM-110 Replacement Request form must be signed by a member of the Eligibility Unit or an Authorized Representative before processing.

Ask the EU what amount was lost and the circumstances surrounding the loss. If eligible for a replacement, the appropriate Eligibility Specialist Supervisor or Manager will issue the replacement.

When benefits are replaced due to loss from an EBT account, issue the replacement benefits using code RBS-BENEFITS STOLEN FROM EBT CARD up to the amount of the monthly issuance. The issuance can be seen on the Payment History (FM5F) screen in FAMIS. Make a comment regarding the date of loss, date loss is reported, date request is completed and verification used to determine replacement.

When a request to replace benefits is denied make a comment on the EUMEMROL screen. The comment should state the date of loss, date loss is reported, date request is completed and the reason for the denial. If a replacement is totally or partially denied the EU has the right to request a fair hearing. However, no replacement can be made while the denial is being appealed.

For replacement decisions made and entered by FSD staff, the original IM-110 must be scanned and indexed following local procedures.

FSD staff notifies the EU of the decision on the IM-112 Action Taken on Your Food Stamp Case form. For assistance in processing a replacement, refer to user guide FOOD STAMP REPLACEMENT.