921 KAR 2:060. Delegation of power for oaths and affirmations

Section 1. Specific Worker Designation. The following classifications of employees shall be designated as duly authorized representatives of the Secretary of the Cabinet for Health and Family Services to administer an oath or affirmation to an applicant or recipient: (1) Family support specialist; (2) Case management specialist; (3) Public assistance program specialist; (4) Field services supervisor; (5) Service region administrator associate (SRAA); and (6) Service region administrator (SRA). Section 2. Purpose. An oath or affirmation shall be administered by a designated representative to an applicant or recipient to: (1) Obtain a sworn statement regarding a claim that a check issued through a cabinet program has been: (a) Lost; (b) Misplaced; or (c) Stolen; (2) Request a replacement check; or (3) View a check endorsement. Section 3. Process. (1) A "PAFS-60, Affidavit" form shall be used if: (a) A check is reported lost or stolen to request a replacement check within twelve (12) months of intended receipt; or (b) A check endorsement is viewed when a reported lost or stolen check is cashed. (2) If the payee reports non-receipt, loss, or theft of a check, the payee shall come into the office to complete a PAFS-60 form within four (4) business days of reporting non-receipt of the check in effort to place a stop payment on the check. (3) If the original check has been cashed, a photocopy of the cashed check shall be forwarded to the local office. (a) The payee shall view the endorsement; and (b) If the signature is not that of the payee, the payee shall sign the PAFS-60 form stating the: 1. Signature on the photocopy is not the payee's signature; and 2. Payee received no benefit from the cashing of the check. Section 4. Incorporation by Reference. (1) The "PAFS-60, Affidavit", 12/22, is incorporated by reference

warded to the local office. (a) The payee shall view the endorsement; and (b) If the signature is not that of the payee, the payee shall sign the PAFS-60 form stating the: 1. Signature on the photocopy is not the payee's signature; and 2. Payee received no benefit from the cashing of the check. Section 4. Incorporation by Reference. (1) The "PAFS-60, Affidavit", 12/22, is incorporated by reference. (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Cabinet for Health and Family Services, Department for Community Based Services, 275 East Main Street, Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m. This material may also be viewed on the department's Web site at https://chfs.ky.gov/agencies/dcbs/Pages/default.aspx.