PDF 5.4MB - Administration for Children and Families

Date:Applicant Name:Component &Activity:Intake Packet ReviewEligibility Date:Area Office:Primary Intake Date: 45-days out:SSP Application:Rules, Rights Q Responsibilities:Standard ROI:Resident Verification:Collateral Statement:Aewlicant Statement:SED Packet:Birth Certificate(s):Indian Heritage:Birth date Q age:Social Security Grd(s1:Income Verification:Public Assistance:UI Corn~ensation/ROI:Key: CRT Class Room Training SSP Self Sufficiency ProgramLON Letter of Notification TSA Tribal Service AssistantROI Release of Information TSS Tribal Service SpecialistSED Child Support PacketThe example was prwided by the Confederated Tribes of Siletz ~ndians