SR 10-27 Dated 07/10

STATE OF NEW HAMPSHIRE

INTER-DEPARTMENT COMMUNICATION

 

DFA SIGNATURE DATE:

June 25, 2010

FROM:

OFFICE OF THE DIRECTOR, DFA Terry R. Smith

AT (OFFICE):

Division of Family Assistance

TO:

DFA Supervisors

[others as appropriate, such as NHEP teams]

 

SUBJECT:

Release of New Bosnian Language Versions of DFA Forms 260(Bo), Financial Assistance to Needy Families (FANF) Fact Sheet, DFA Form 800A(Bo), DFA Program and Services Guide, and DFA Form 811R(Bo), Your Rights and Responsibilities

EFFECTIVE DATE:

July 1, 2010

 

 

SUMMARY

 

This SR releases the Bosnian language versions of:

 

�   DFA Form 260(Bo), Financial Assistance to Needy Families (FANF) Fact Sheet;

�   DFA Form 800A(Bo), DFA Program and Services Guide; and

�   DFA Form 811R(Bo), Your Rights and Responsibilities.

 

The Bosnian language forms are identified by the suffix "(Bo)" immediately following the form number.

 

POLICY

 

The SR number and date of the Bosnian versions of DFA Forms 260(Bo), Financial Assistance to Needy Families (FANF) Fact Sheet, DFA Form 800A(Bo), DFA Program and Services Guide, and DFA Form 811R(Bo), Your Rights and Responsibilities, match the SR number and date of the latest English versions of the forms. The Bosnian language versions of the forms released in this SR are used in the same manner as the English versions; therefore, no form instructions are being re-released.

 

IMPLEMENTATION

 

An initial supply of each of the forms released in this SR has been sent to each office as follows:

 

�   25 of each individual form to the Claremont, Concord, Keene, Laconia, Manchester, Southern NH, Seacoast, and Rochester District Offices; and

�   10 copies of each individual form to the Berlin, Central Healthy Kids, Conway, Littleton, and Salem District Offices.

 

Once copies of the forms released by this SR are received, offices may begin using the foreign language versions whenever the need arises. Reorder by contacting the Supervisor of the DFA Policy Development Unit and specifying the amount needed.

For Department employees, the forms released in this SR are also all available electronically on the Family Services database in Lotus Notes.

 

CLIENT NOTIFICATION

 

Clients will be provided with the newly released forms on an as needed basis.

 

TRAINING

 

No special training is planned or needed.

 

FORMS MANUAL POSTING INSTRUCTIONS

 

Remove and Destroy

Insert

 

Forms Manual

 

 

 

None

DFA Form 260(Bo), Financial Assistance to Needy Families (FANF) Fact Sheet,

DFA SR 09-11/October, 2009

1 sheet

None

DFA Form 800A(Bo), DFA Program and Services Guide, DFA SR 10-03/April, 2010

4 back-to-back sheets

None

DFA Form 811R(Bo), Your Rights and Responsibilities, DFA SR 08-17/February, 2006

1 back-to-back sheet

 

DISPOSITION

 

This SR may be destroyed or deleted after its contents have been noted, the attached forms posted to the paper Forms Manual, and the SR has been posted to the On-line manual.

 

DISTRIBUTION

 

This SR will be distributed according to the electronic distribution list for Division of Family Assistance policy releases. This SR will be available for agency staff in the On-Line Manual Library, and for public access on the Internet at http://www.dhhs.nh.gov/DHHS/DFA/LIBRARY, effective August 2, 2010. Additionally, this SR will be distributed under separate cover to all internal hard copy holders of the Forms Manual.

 

DFA/JBV:s