Notice of Supplemental Benefits

When Used: After authorizing an Underpayment via Manual EDBC

Special Instruction: Send the V808 when using Manual EDBC to issue an Underpayment for benefit month issued from KAECSES/KS Cares.

We are issuing you an additional *PROGRAM* benefit for the amount of *$AMOUNT* for *MM/YYYY*. This is because *REASON*.

Spanish Translation:

Le estamos enviando un beneficio adicional del *PROGRAMA* por el monto de *MONTO$* para *MM/AAAA*. Esto se debe a *MOTIVO*.