PM 16-01-03.

Change in Caretaker Relative

If the new caretaker relative did not sign the original application, have the caretaker relative complete and sign Form 243 or Form 2378B.

If a suspended case is to be resumed with a new payee, see WAG 03-14-03-e for an SNAPE&T suspension, or WAG 12-02-04-b for a periodic extra check suspension.

Complete Form 552:

  • Item 1 -Enter the new case number, or if the new payee previously received benefits under the same category, enter the former case number.
  • Item 3 -Enter 14.
    • NOTE: If a canceled case is being reopened with a new payee, enter 11.
  • Items 8, 9, 10 -Enter the name and address of new caretaker relative/payee.
  • Item 28 -Complete when applicable.
  • Item 30 -Reenter the existing date if a new REDE is not being completed.
  • Item 44 -Complete when applicable.
  • Item 46 -Line out any entry in this item.
  • Items 50-52 -Complete when applicable.
  • Items 60-74 -Complete if caretaker relative is included in the unit.