V 1.1 – Statutory Defect LOC – Revised 05/02
STATUTORY DEFECT LETTER OF CREDIT
61 O.S. 1991, Section 113 (B)(3)
State of Oklahoma, Oklahoma Energy Resources Board
3555 N.W. 58th Street, Suite 430
Oklahoma City, Oklahoma 73112
Referral for Bridge Resource
Form 04AF009E v.4 08/23/2012 Page 1 of 4
This form is completed by the OKDHS resource specialist and submitted to the resource assessment
Type of Resource Family...
Maximum Income, Resource, and Payment Standards
Schedule I.A - Categorically needy standards for:
pregnant women [OAC 317:35-5-46];
persons under 19 years of age [OAC 317:35-5-45];
Temporary Assistance for Needy Families (TANF) continued medical...