Application Forms for TANF 400-19-20-10

(Revised 7/1/12 ML #3334)

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The allowable application forms used to apply for benefits under the TANF Program are:  

  1. SFN 405, "Application for Economic Assistance Programs";
  1. SFN 719, "TANF Request for Benefits”; and
  1. The Electronic Application found on the Department of Human Service Website.

 

Upon receipt of an application, the TANF Eligibility Worker must:

  1. Determine if it is complete and signed, and a face to face interview must be conducted.
  • If any one of the above signed applications is incomplete, the household must either complete the application or sign a Statement of Facts (or Monthly Report as defined below).

Note: If the application submitted is the SFN 719, “Request for Benefits”, a Statement of Facts (or Monthly Report as defined below) is required.

  • If any one of the above signed applications does not list an address, TANF Eligibility Workers should review the contact information found on a mailing envelope, in a phone book, on a Motor Vehicle query, or using any other available resources for address information.
  1. The application must be registered in the automated computer system as soon as possible upon receipt, but no later than the fifth working day following receipt. If no mailing/residence address can be located, ‘General Delivery’ must be used as the mailing address for all notice(s). If the notices are returned for insufficient address:
  • If the application has not been approved, it should be denied due to loss of contact and documented in the casefile.
  • If the application has been approved, the case can be closed for loss of contact and documented in the casefile.