This page is displayed because you indicated someone in the household has received out of state benefits or services. This page will be displayed for each member who was indicated to have received out of state benefits or services.
If the individual indicated at the top of the page does not receive out of state benefits or services, click the Previous button to navigate back to the Household Survey page to adjust the information entered.
Louisiana cannot be selected from the State drop-down menu, as this page is for “out of state” benefits or services.
Click the Print button to print this page for your reference.
Click the Next button to save and continue with the online Redetermination/Change Report/Simplified Report.
Click the Save & Exit button to exit the online Redetermination/Change Report/Simplified Report and save your progress on your Redetermination/Change Report/Simplified Report. The Redetermination/Change Report/Simplified Report is saved as Incomplete.