- Complete, sign and return this report by the due date. The next month’s cash grant cannot be calculated without it.
- Answer for everyone in the home that is part of the family unit receiving assistance. For Child Only cases in which the biological parent is the legal guardian and is receiving a form of SSI, you are required to disclose all income received for self and child.
- You must report any and all changes within 10 working days that may affect your eligibility for the amount of your case aid. Please contact your caseworker to report changes at any time throughout the month. Failure to do so may result in an overpayment of benefits and require a repayment to the program.
- Facts you report may result in your benefits increasing, decreasing or being stopped.
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