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...Missouri department of social services family support division use this form only to report changes change return completed your local fsd office caseworker telephone number date from county address street city state zip code name case dcn re if household circumstances in any the ways listed below federal law requires you within ten days may or write phone visit have questions call worker at food stamp hotline toll free a new members list income and resources savings vehicles etc c d e relationship birthdate security no moved disabled y n numbers must provide ssn all persons applying for receiving stamps as condition eligibility will be used determine level benefits verify information prevent duplicate issuances facilitate mass fs act public b longer living with left attach verification temporary assistance earned includes wages salaries self employment both following source type member base rate pay employed permanent hours worked that is expected continue become lose job unearned sup...