Form H1059, Interview Observation Instrument

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Instructions

Updated: 7/1986

Purpose

To provide income assistance supervisors a form to use

  • while observing an interview, and
  • as a training supplement.

Procedure and Distribution

Follow regional procedures for required use of Form H1059. Ensure the worker receives a copy.

Form Retention

Keep a copy in the worker's conference folder for as long as needed.

Detailed Instructions

Form H1059 is self-explanatory.