Family Services Manual
(Net Allotment + Overpayment Recovery)
Number in Household:
Number of Adults in Benefit Group:
Number of Children in Benefit Group:
Number in Need Group:
Use only if Household includes Ineligible Noncitizens
Reminder: Is this Microenterprise income?
Earned Income - Allow Deduction:
Enter Full Amount - Deduction will be calculated.
Earned Income - No Deduction:
Retained By DHS as Current Reimbursement
(Including aged off benefits)
Adjustment for Prior Overpayment:
(Use only for Non-Citizen Calculation)