Appendix F Forms | TANF
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Georgia Division of Family and Children Services |
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Policy Title: |
Forms Table of Contents |
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Effective Date: |
March 2026 |
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Chapter: |
Appendix F |
Policy Number: |
Appendix F |
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Previous MT(s): |
MT 81 |
Updated or Reviewed in MT: |
MT 82 |
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TANF PROGRAM MANUAL
TABLE OF CONTENTS
Appendix F Forms
Voter Registration Information
*For a copy of the Voter Registration Application Form and information on how to apply to register to vote, visit: sos.ga.gov
Also, refer to Form #VRA-95.
Table of Contents
| FORM# | NAME OF FORM | REVISION DATE | SOURCE/ORDER INFORMATION |
|---|---|---|---|
VRA-95 |
Voter Registration Application Form |
Secretary of State www.sos.ga.gov |
|
1 |
10/23 |
||
SS |
Application for a Social Security Card |
N/A |
www.ssa.gov |
102 |
02/09 |
State Office/PAMMS |
|
104 |
06/16 |
PAMMS |
|
104SP |
06/16 |
PAMMS |
|
114 |
01/11 |
State Office/PAMMS |
|
118 |
1/26/22 |
PAMMS |
|
121 |
09/05 |
PAMMS |
|
126 |
06/16 |
PAMMS |
|
126SP |
06/16 |
PAMMS |
|
130 |
11/25 |
State Office/PAMMS |
|
130SP |
12/24 |
State Office/PAMMS |
|
136 |
12/24 |
PAMMS |
|
138 |
12/24 |
State Office/PAMMS |
|
138 SP |
12/24 |
State Office/PAMMS |
|
139 |
12/24 |
State Office/PAMMS |
|
139 SP |
12/24 |
State Office/PAMMS |
|
173 |
06/10 |
State Office/PAMMS |
|
173 SP |
11/09 |
State Office/PAMMS |
|
173A |
06/16 |
State Office/PAMMS |
|
173A SP |
06/16 |
State Office/PAMMS |
|
188 |
06/16 |
PAMMS |
|
188SP |
06/16 |
PAMMS |
|
190 |
12/22 |
PAMMS |
|
190SP |
Conciliacion / Dotacion del Personal por Incumplimiento Sustancial de TANF |
12/22 |
PAMMS |
191 |
07/23 |
State Office/PAMMS |
|
191 SP |
Terminacion del Limite de Vida o Negativa de Dificultad de Asistencia Temporal Para Familias |
07/23 |
State Office/PAMMS |
192 |
Disposition Notification TANF Lifetime Limit Termination or Denial |
07/23 |
State Office/PAMMS |
192 SP |
Terminacion del Limite de Vida o Negativa de Dificultad de Asistencia Temporal Para Familias |
07/23 |
State Office/PAMMS |
193 |
06/16 |
State Office/PAMMS |
|
193 SP |
06/16 |
State Office/PAMMS |
|
194 |
TANF Assessment for Domestic Violence, Sexual Assault, Sexual Harassment, or Stalking |
08/22 |
State Office/PAMMS |
194 SP |
08/22 |
State Office/PAMMS |
|
195 |
06/16 |
State Office/PAMMS |
|
196 |
01/25 |
State Office/PAMMS |
|
196 SP |
01/25 |
State Office/PAMMS |
|
196A |
01/25 |
State Office/PAMMS |
|
196A SP |
01/25 |
State Office /PAMMS |
|
197 |
09/05 |
State Office/PAMMS |
|
197A |
09/05 |
PAMMS |
|
199 |
02/19 |
PAMMS |
|
200 |
09/07/2022 |
State Office/PAMMS |
|
205 |
03/21 |
State Office/PAMMS |
|
205 SP |
Notificación Disposición Servicios de Intervencion en el Empleo |
03/21 |
State Office/PAMMS |
207 |
07/23 |
State Office/PAMMS |
|
207 SP |
07/23 |
State Office/PAMMS |
|
239 |
05/25 |
PAMMS |
|
281 |
11/16 |
State Office/PAMMS |
|
282 |
04/26/21 |
State Office/PAMMS |
|
282 SP |
04/26/21 |
State Office/PAMMS |
|
297 |
Application for TANF, Food Stamps and Medical Assistance |
11/25 |
State Office/PAMMS |
297 LP |
10/24 |
State Office/PAMMS |
|
297 SP |
Application for Benefits (Spanish) |
10/24 |
State Office/PAMMS |
297 SP LP |
10/24 |
State Office/PAMMS |
|
297A |
11/25 |
State Office/PAMMS |
|
297A LP |
10/24 |
State Office/PAMMS |
|
297A SP |
Rights and Responsibilities (Spanish) For voter registration information refer to Voter Registration Information |
10/24 |
State Office/PAMMS |
297A SP LP |
10/24 |
State Office/PAMMS |
|
329 |
07/23 |
State Office/PAMMS |
|
329 SP |
07/23 |
State Office/PAMMS |
|
351 |
04/16 |
PAMMS |
|
354 |
08/20 |
State Office/PAMMS |
|
354 SP |
08/20 |
State Office/PAMMS |
|
373 |
02/15 |
PAMMS |
|
482 |
06/16 |
State Office/PAMMS |
|
482 SP |
06/16 |
State Office/PAMMS |
|
486 |
09/20 |
State Office/PAMMS |
|
486 SP |
04/04 |
State Office/PAMMS |
|
489 |
06/16 |
State Office/PAMMS |
|
489 SP |
06/16 |
PAMMS |
|
490 |
01/16 |
State Office/PAMMS |
|
490 SP |
06/12 |
PAMMS |
|
491A |
03/03 |
State Office/PAMMS |
|
491A SP |
06/12 |
State Office/PAMMS |
|
495 |
08/22 |
State Office/PAMMS |
|
495 SP |
08/22 |
State Office/PAMMS |
|
508 |
Food Stamps, Medicaid, TANF Renewal For voter registration information refer to Voter Registration Information |
11/25 |
State Office/PAMMS |
508 LP |
10/24 |
State Office/PAMMS |
|
508 SP |
Formulariode Renovacion de Cupones De Alimentos Medicaid TANF For voter registration information refer to Voter Registration Information |
10/24 |
State Office/PAMMS |
508 SP LP |
10/24 |
State Office/PAMMS |
|
516 |
10/22 |
State Office/PAMMS |
|
516 SP |
10/22 |
State Office/PAMMS |
|
517 |
09/23 |
State Office/PAMMS |
|
517 SP |
09/23 |
State Office/PAMMS |
|
522 |
07/23 |
State Office |
|
522 SP |
07/23 |
State Office |
|
523 |
08/22 |
State Office/PAMMS |
|
524 |
11/15 |
State Office |
|
524 SP |
11/15 |
State Office |
|
525 |
10/11 |
PAMMS |
|
713-CS |
09/20 |
State Office |
|
785 |
06/16 |
State Office/PAMMS |
|
785 SP |
06/16 |
State Office/PAMMS |
|
806 |
06/16 |
State Office/PAMMS |
|
806 SP |
06/16 |
State Office/PAMMS |
|
809 |
12/24 |
State Office/PAMMS |
|
809 SP |
12/24 |
State Office/PAMMS |
|
846 |
10/24 |
State Office/PAMMS |
|
846 SP |
10/24 |
State Office/PAMMS |
|
1215 |
2012 |
PAMMS |
|
5459 |
07/16 |
State Office |
|
5459 SP |
07/16 |
State Office |
|
5460 |
12/23 |
State Office/PAMMS |
|
5460 SP |
12/23 |
State Office/PAMMS |
|
5667 |
10/18 |
Office of Investigative Services (OIS) |
|
5706 |
TANF/Family Medicaid Child Support Enforcement Compliance Agreement |
01/07 |
State Office/PAMMS |