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Date Case ManagerOffice Address and Telephone No. Individual\'s Name and AddressInHome and Family Support Program (IH FSP)Notice of Spend Down You have not furnished acceptable receipts to substantiate
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Start by writing the individual's full name in the designated space.
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Next, provide the complete address, including the street name, house number, city, state, and postal code.
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Double-check the accuracy of the name and address before submitting the form.

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