1710 Reviews | TANF

submitting a completed Form 508 – SNAP, Medicaid, TANF Renewal Form to the local county office or

using the on-line Renewal Option via Georgia Gateway at: www.gateway.ga.gov.

the parent(s) or grantee relative,

a pregnant woman (including a minor dependent child who is pregnant)

a minor parent who is receiving cash assistance as a dependent child, including a non-custodial, non-supporting minor parent; or

an AU member who has a work requirement

alien’s sponsor

ineligible parent who is not a payee

employed minor child in the AU if the caretaker is uncertain of the child’s income

spouse of a married minor

stepparent

spouse of a caretaker

parent of a minor caretaker

deprivation

living arrangements, including those of a pregnant minor or minor parent

prenatal care

personal responsibility requirements

work requirements

immunizations

resources

income

dependent care expenses

financial management

any other point of eligibility subject to change

GRG /MSP eligibility.

Application for Voter Registration

Assistance in completing the form if requested

Acceptance and transmittal of completed Voter Registration Application and the Agency Recap Forms to the Secretary of State.

that a review is necessary to continue eligibility,

the consequences of failing to comply with the renewal process,

the date on which the AU must be available for a telephone interview or appear for a face-to-face interview with the case manager,

the AUs responsibility for rescheduling a missed interview,

the AUs responsibility to provide all required verification,

the AUs right to a fair hearing,

the address of the county office completing the renewal, and

the name and direct telephone number of the case manager.

Form 508, SNAP, Medicaid, and TANF Renewal form (if renewal is not submitted through customer portal).

Form 522, Domestic Violence brochure. If the renewal is submitted through Customer portal or Form 508, the section for Domestic Violence will satisfy the Form 522 requirement.

Form 138, Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement and Third-Party Resources, if deprivation is based on continued absence and there has been a change since the most recent application or renewal. (Form is required if additional child is added).

Form 173, Verification Checklist

Form 173 A, Appointment Letter

Form 194, TANF Assessment for Domestic Violence, Sexual Assault, Sexual Harassment, or Stalking (This form is required to be signed and returned if a waiver is requested for DCSS Cooperation or Work Requirements).

Form 196, TANF Family Service Plan (TFSP)-Personal Responsibility Requirements (PRP) if there has been a change in the AUs PRP requirements since application or last renewal. (Form must be signed and returned).

Form 196A, TANF Family Service Plan (TFSP)- Work Requirement, if there has been a change in the AUs TFSP work requirement since application or last renewal. (Form must be signed and returned).

Form 351, GRG MSP CRISP Work Sheet

Form 354, Expense Statement, (Form 354 is only for work eligible adults. It should be completed if Form 508 is not completed in its entirety).

Form 489, TANF Work Requirement Exemption Form, if there is a child in the home less than 12 months of age. (Form must be signed and returned if the client is requesting an exemption).

Form 785, Family Planning Services Referral, if required Refer to 1345 Personal Responsibility Requirements, for details about requirements to complete Form 785.

ADA RM Form 101, Americans with Disability Act Reasonable Modification Form. (This form may be used, but is not required, if reasonable modifications or accommodations are requested).

ADA RM Form 102 Tracking Form, Americans with Disability Act Reasonable Modification Tracking Form (This form is required when the Reasonable Modification (RM) request cannot be entered and documented in Gateway, or the request for a RM may be potentially denied).