Health & Benefits

Fill out the form linked below:

• Request for Cash Assistance: Use this form to apply for TANF cash benefits.

Note: You can also apply online.

You can submit your application:

• Online through the ABE system,
• In person by bringing your application to the nearest Family Community Resource Center (FCRC),
• By faxing your application to the nearest FCRC, or
• By calling (800) 843-6154.

After you apply, you will be asked to go to the FCRC for an interview:

• At the interview a caseworker will ask you questions and enter your answers into a computer.
• The caseworker will print out the application with your answers on it and have you sign it.
• The caseworker will ask to see proof of the information you give, including:
  • Children's birth certificates to show they are related to you,
  • Social Security cards, and
  • Proof of income such as paycheck stubs.
• If more information is needed, the caseworker will give you a list with a deadline to provide the information.

Note: You can ask your caseworker to help you get this information.

DHS will make a decision on your application and notify you in writing within 45 days. If you disagree with the decision, you can appeal A request to change a court's decision the decision within 60 days of the date of the written notice.

DHS will also do a Family Assessment and a Responsibility and Service Plan (RSP) at the interview. You must cooperate with creating the RSP, but most activities cannot start until 30 days after when you applied for TANF. There are some exceptions.