(b) The quarterly report form must contain the following information:

1. (1) periodic income and dates received, household composition and other circumstances relevant in determining the amount of assistance; and
2. (2) any changes in income, household composition or other relevant circumstances affecting eligibility for or the amount of benefits which the household expects to occur in the current or future months.

(c) The quarterly reporting process does not relieve participants of their responsibility to report changes that impact eligibility in a timely manner. Participants must submit timely reports of all changes affecting eligibility, with the exception of changes in income, no later than 10 days after each change occurs. Participants will not be required to report changes in income more frequently than quarterly.

1. (1) Quarterly report forms must be provided to participants in sufficient time for participants to return completed reports to the social services districts by the tenth day of the process month.

2. (2) A quarterly report is considered complete when the participant has:

   1. (i) answered all questions;
   2. (ii) provided verification of all reported income; and

   3. (iii) signed and dated the report on or after, but not before, the last day of the report quarter.

      (e) Failure to submit a completed report.

      If a participant fails, without good cause, to return a completed quarterly report by the 10th day of the process month, the social services district must send a timely and adequate notice of discontinuance along with a copy of any quarterly report which was returned incomplete or along with a second quarterly report if no report has been returned.

(d)