All Income Maintenance (IM) Forms and Worksheets

Below is a list of all Income Maintenance (IM) forms and worksheets.

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Assigned number	Title	Release date Sort ascending	Language	Available to order
F-19002	Request to Reduce QUEST Card Balance (PDF)	08/2023	English	No
F-16039SO	Waiver of Administrative Disqualification Hearing, Somali (PDF)	07/2023	Somali	No
F-16039R	Waiver of Administrative Disqualification Hearing, Russian (PDF)	07/2023	Russian	No
F-16039S	Waiver of Administrative Disqualification Hearing, Spanish (PDF)	07/2023	Spanish	No
F-16039H	Waiver of Administrative Disqualification Hearing, Hmong (PDF)	07/2023	Hmong	No
F-16039	Waiver of Administrative Disqualification Hearing (PDF)	07/2023	English	No
F-16039AR	Waiver of Administrative Disqualification Hearing, Arabic (PDF)	07/2023	Arabic	No
F-16039CM	Waiver of Administrative Disqualification Hearing, Chinese (Simplified) (PDF)	07/2023	Chinese (Simplified)	No
F-16028S	Notice of FoodShare Overissuance, Spanish (PDF)	07/2023	Spanish	No
F-16028SO	Notice of FoodShare Overissuance, Somali (PDF)	07/2023	Somali	No
F-16028R	Notice of FoodShare Overissuance, Russian (PDF)	07/2023	Russian	No
F-16028CM	Notice of FoodShare Overissuance, Chinese (Simplified) (PDF)	07/2023	Chinese (Simplified)	No
F-16028H	Notice of FoodShare Overissuance, Hmong (PDF)	07/2023	Hmong	No
F-16028	Notice of FoodShare Overissuance (PDF)	07/2023	English	No
F-16028AR	Notice of FoodShare Overissuance, Arabic (PDF)	07/2023	Arabic	No
F-16025SO	Disqualification Consent Agreement, Somali (PDF)	07/2023	Somali	No
F-16025S	Disqualification Consent Agreement, Spanish (PDF)	07/2023	Spanish	No
F-16025R	Disqualification Consent Agreement, Russian (PDF)	07/2023	Russian	No
F-16025CM	Disqualification Consent Agreement, Chinese (Simplified) (PDF)	07/2023	Chinese (Simplified)	No
F-16025H	Disqualification Consent Agreement, Hmong (PDF)	07/2023	Hmong	No
F-16025AR	Disqualification Consent Agreement, Arabic (PDF)	07/2023	Arabic	No
F-16025	Disqualification Consent Agreement (PDF)	07/2023	English	No
F-16024H	FoodShare Notice of Disqualification, Hmong (PDF)	07/2023	Hmong	No
F-16024	FoodShare Notice of Disqualification (PDF)	07/2023	English	No
F-16024R	FoodShare Notice of Disqualification, Russian (PDF)	07/2023	Russian	No

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