Complete for every person listed on Form 552.
Enter one of the following codes for the payee.
| ITEM 62 CODE |
PAYEE - GA AND P3-TA |
| 25 |
Payee Only - Representative Payee (RPY) who is not included in GA case. This includes an RPY who is on Form 552 as a component SNAP unit member. |
| -- |
Payee - Included in GA case. |
Enter one of the following codes for all the other persons listed on Form 552 to show their relationship to the payee.
| ITEM 62 CODE |
ALL OTHER PERSONS - GA |
| 01 |
Father |
| 02 |
Mother |
| 03 |
Stepparent |
| 04 |
Grandparent or Great Grandparent |
| 05 |
Brother or Sister |
| 06 |
Aunt or Uncle |
| 07 |
First Cousin |
| 08 |
Niece or Nephew |
| 09 |
Spouse |
| 10 |
None |
| 11 |
Legal Guardian |
| -- |
Component SNAP Unit Member |