Any Documentation not Available Online

							                      What Stays in the Case Record
                                    &
                            What Stays Out!


Stays In:

     System Calculations (when income is added or changed)
     ‘Same For’ Screens (when the earned income is not he same for all
      months)
     Comments Screen from the Latest Application or Recertification
     Any Documentation not Available Online
         o Bills
         o Receipts
         o Birth Records
         o Wage Stubs
         o Medical Documentation
     Signed Application (KIM 101)
     Notices that were Manually Sent
     Administrative Hearing Recommendations/Final Orders
     Forms to be Included:
         o PAFS 116, PAFS 202, PAFS 203, and MA 2
     Possible forms included in case record include:
         o PAFS 116 Sup A, KIM 125, PA-30A, PAFS 76, PAFS 700, PAFS 702, PA
            33D
         o Other forms as needed for specific program types and forms signed
            by applicant

Stays Out:

     Original Documents, keep only copies! (Original copy of the MA 2 does
      stay in the case record)
     Screen Prints BENDEX, SDX and Program 48
     Boot-leg Forms

 Remember, in addition to the above list your regional or local staff may
  require that other screens from KAMES (or other systems) be printed
                   and maintained in the case record!!!