Effective Date: 

Effective Date: 1/1998

Availability

PDF: H1059.pdf

Instructions

Updated: 7/1986

PURPOSE

To provide income assistance supervisors a form to use

  • while observing an interview, and
  • as a training supplement.

PROCEDURE AND DISTRIBUTION

Follow regional procedures for required use of Form H1059. Ensure the worker receives a copy.

Form Retention

Keep a copy in the worker's conference folder for as long as needed.

DETAILED INSTRUCTIONS

Form H1059 is self-explanatory.

Having trouble viewing or downloading a form?

Get Help