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d. The Program Manager's name and contact information for appeal <br />and the Distributors Name and Distribution Agency. <br />12. Distribution of available coupons will be handled as follows: <br />a, After eligibility of the senior is determined, issue applicant eligibility <br />letter. Then record the applican# information on the 2012 SFMNP <br />WRAAA Coupon Distribution Log. <br />b. Print the name of the participant into.the first column (Last Name, <br />First Name and Middle Initial) in the first column. <br />c. Signature of Senior or Proxy. <br />d. Coupon Sequence number as indicated by the first and last coupon <br />numbers in the coupon set. <br />e, Initials of the person distributing coupons. <br />Date the Coupons were distributed. <br />If there is a need for additional pages to be attached, please <br />indicate so in the bottom right hand comer under Page _of <br />Please make sure to include the distribution site and #otal number <br />of coupons in the upper boxes of the log. <br />13. If no coupons are available, the Distribution Agent will record the application <br />information on the 2012 SFMNP Participant Waiting List: <br />Recording the Nutrition Site Name. <br />b. Recording the date of application. <br />c. Recorclirig the Applicants name. <br />d. If eligible placing a check mark under the column eligible. <br />e. If not eligible, placing a check mark under fhe column not eligible. <br />f. If eligible; but no coupons are available because the nutrition site <br />has exhausted their allocation of coupons, then placing a check <br />mark in the columns of both eligible and no coupons. <br />Page 5 of 7 <br />