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All Income Maintenance (IM) Forms and Worksheets

Below is a list of all Income Maintenance (IM) forms and worksheets.

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned number Title Release date File type Language Available to order
F-16039R Waiver of Administrative Disqualification Hearing, Russian 07/2023 PDF Russian No
F-16039S Waiver of Administrative Disqualification Hearing, Spanish 07/2023 PDF Spanish No
F-16039H Waiver of Administrative Disqualification Hearing, Hmong 07/2023 PDF Hmong No
F-16039 Waiver of Administrative Disqualification Hearing 07/2023 PDF English No
F-16039AR Waiver of Administrative Disqualification Hearing, Arabic 07/2023 PDF Arabic No
F-16039CM Waiver of Administrative Disqualification Hearing, Chinese (Simplified) 07/2023 PDF Chinese (Simplified) No
F-16028R Notice of FoodShare Overissuance, Russian 07/2023 PDF Russian No
F-16028CM Notice of FoodShare Overissuance, Chinese (Simplified) 07/2023 PDF Chinese (Simplified) No
F-16028H Notice of FoodShare Overissuance, Hmong 07/2023 PDF Hmong No
F-16028 Notice of FoodShare Overissuance 07/2023 PDF English No
F-16028S Notice of FoodShare Overissuance, Spanish 07/2023 PDF Spanish No
F-16028SO Notice of FoodShare Overissuance, Somali 07/2023 PDF Somali No
F-16028AR Notice of FoodShare Overissuance, Arabic 07/2023 PDF Arabic No
F-16025H Disqualification Consent Agreement, Hmong 07/2023 PDF Hmong No
F-16025CM Disqualification Consent Agreement, Chinese (Simplified) 07/2023 PDF Chinese (Simplified) No
F-16025R Disqualification Consent Agreement, Russian 07/2023 PDF Russian No
F-16025AR Disqualification Consent Agreement, Arabic 07/2023 PDF Arabic No
F-16025 Disqualification Consent Agreement 07/2023 PDF English No
F-16025S Disqualification Consent Agreement, Spanish 07/2023 PDF Spanish No
F-16025SO Disqualification Consent Agreement, Somali 07/2023 PDF Somali No
F-16024CM FoodShare Notice of Disqualification, Chinese (Simplified) 07/2023 PDF Chinese (Simplified) No
F-16024S FoodShare Notice of Disqualification, Spanish 07/2023 PDF Spanish No
F-16024SO FoodShare Notice of Disqualification, Somali 07/2023 PDF Somali No
F-16024R FoodShare Notice of Disqualification, Russian 07/2023 PDF Russian No
F-16024AR FoodShare Notice of Disqualification, Arabic 07/2023 PDF Arabic No

Glossary

 
Last revised February 20, 2026