Form H1851, Reference Guide for Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facilities

Instructions for Opening a Form

Some forms cannot be viewed in a web browser and must be opened in Adobe Reader on your desktop system. Click here for instructions on accessing your form.

Effective Date
07/2014
h1851.pdf (120.26 KB)

Instructions

Updated: 7/2014

Purpose

To provide D&A/GLA facilities a summary of their responsibilities as authorized representatives (ARs) for residents who participate in the Supplemental Nutrition Assistance Program (SNAP).

Procedure

When to Prepare

Advisors provide Form H1851 to the AR of the facility at initial interviews and at subsequent interviews when the facility has designated a new AR.

Number of Copies

Provide one copy to the AR of the facility.

Form Retention

There is no retention requirement for this form.

Detailed Instructions

The form is self-explanatory.