FYI: Cash Intake Form

To promote consistency and streamline the intake process for TAFDC/EAEDC applicants statewide, field staff have recommended the creation of a standardized Cash Intake Form. The Department has created a standardized Cash Intake Form which is available in Online Forms. As with all forms, the use of any TAO created intake form is not acceptable. TAO’s must only use Department created forms. It is important to remember that the intake form is not an application. Clients do not have to fill it out to apply for benefits. If after reviewing the completed form a client appears to be ineligible, the client still has the right and must be afforded the opportunity to apply.

The Cash Intake Form can be found by accessing Policy Online; Online Forms; Cross Programs; Cash Intake Form. The Cash Intake Form will be made available in more languages at a later date.