Georgia Department of Human Resources



SIMPLIFIED REPORTING REQUIREMENT (SRR) NOTICE

Simplified Reporting Requirements apply to all food stamp households in Georgia.

You must report when your household’s total gross monthly income is more than the amount listed in the chart below or provided on the blank below for your household size.

Able Bodied Adults without Dependents (ABAWDS) are required to report when work hours fall below 20 hours per week, averaged 80 hours monthly.

Each month you will need to add up all the income your household receives during the month before any taxes or other deductions are taken out. You must count all income such as wages, Social Security, SSI, unemployment, child support, retirement and disability benefits; money people give you, and any other income your household receives.

When you add it all up, if it is more than the amount listed in the chart below or provided on the blank below for your household size, you MUST report the change in income by the 10th day of the next month.

Call the Customer Contact Center at _________________ or go to gateway. to report your changes.

Food Stamp Household Size |

1 |

2 |

3 |

4 |

5 |

6 |

7 |

8 |Each

Additional

Member | |Total Gross

Monthly

Amount |

$1,174 |

$1,579 |

$1,984 |

$2,389 |

$2,794 |

$3,200 |

$3,605 |

$4,010 |

+406 | |

If you have more than 8 household members, your gross monthly income amount is provided below.

HH size ____ Monthly Amt ___________

If you fail to report this change, your household may receive more benefits than it is entitled to receive and you may have to pay back benefits. Your income tax refunds may be used to pay back benefits that were incorrectly received.

If you receive TANF, Child Care or Medicaid benefits, you must report all changes in your household circumstances within 10 days.

Report all address changes so that you may receive important notices about your benefits.

Worker: ___________________________ Date: _________________

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