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

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Effective Date
h1851.pdf (120.26 KB)


Updated: 7/2014


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).


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.