All Income Maintenance (IM) Forms and Worksheets

Below is a list of all Income Maintenance (IM) forms and worksheets.

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Assigned number	Title	Release date Sort ascending	File type	Language	Available to order
F-16039CM	Waiver of Administrative Disqualification Hearing, Chinese (Simplified)	07/2023	PDF	Chinese (Simplified)	No
F-16028S	Notice of FoodShare Overissuance, Spanish	07/2023	PDF	Spanish	No
F-16028SO	Notice of FoodShare Overissuance, Somali	07/2023	PDF	Somali	No
F-16028R	Notice of FoodShare Overissuance, Russian	07/2023	PDF	Russian	No
F-16028CM	Notice of FoodShare Overissuance, Chinese (Simplified)	07/2023	PDF	Chinese (Simplified)	No
F-16028H	Notice of FoodShare Overissuance, Hmong	07/2023	PDF	Hmong	No
F-16028	Notice of FoodShare Overissuance	07/2023	PDF	English	No
F-16028AR	Notice of FoodShare Overissuance, Arabic	07/2023	PDF	Arabic	No
F-16025	Disqualification Consent Agreement	07/2023	PDF	English	No
F-16025AR	Disqualification Consent Agreement, Arabic	07/2023	PDF	Arabic	No
F-16025H	Disqualification Consent Agreement, Hmong	07/2023	PDF	Hmong	No
F-16025CM	Disqualification Consent Agreement, Chinese (Simplified)	07/2023	PDF	Chinese (Simplified)	No
F-16025R	Disqualification Consent Agreement, Russian	07/2023	PDF	Russian	No
F-16025S	Disqualification Consent Agreement, Spanish	07/2023	PDF	Spanish	No
F-16025SO	Disqualification Consent Agreement, Somali	07/2023	PDF	Somali	No
F-16024CM	FoodShare Notice of Disqualification, Chinese (Simplified)	07/2023	PDF	Chinese (Simplified)	No
F-16024	FoodShare Notice of Disqualification	07/2023	PDF	English	No
F-16024AR	FoodShare Notice of Disqualification, Arabic	07/2023	PDF	Arabic	No
F-16024R	FoodShare Notice of Disqualification, Russian	07/2023	PDF	Russian	No
F-16024H	FoodShare Notice of Disqualification, Hmong	07/2023	PDF	Hmong	No
F-16024SO	FoodShare Notice of Disqualification, Somali	07/2023	PDF	Somali	No
F-16024S	FoodShare Notice of Disqualification, Spanish	07/2023	PDF	Spanish	No
F-01257	FoodShare Employment and Training (FSET) - Workshop Appointment	07/2023	Word	English	No
F-01254	FoodShare Employment and Training (FSET) - Employment Plan (EP) Appointment	07/2023	Word	English	No
F-01253	FoodShare Employment and Training (FSET) - Appointment Final Notice	07/2023	Word	English	No

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