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