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DCS CW Manual/Chapter 16 Section 2: Assistance for Unlicensed Relative Placements 8 of 9

9 $1,313.50 $607.00 $639.00 10 $1,433.75 $666.00 $697.00

More information on TANF may be found at: http://www.in.gov/fssa/dfr/2684.htm. Supplemental Nutrition Assistance Program (SNAP) FCMs should ensure, in conjunction with the RCSS or RFCS, that unlicensed relatives are informed about the SNAP Food Stamp program. This program may help provide food for the child placed in relative care. The program enables low-income families to buy nutritious food through Electronic Benefits Transfer (EBT) cards. Families must qualify to receive this assistance. To apply for this program, visit this web site at http://www.in.gov/fssa/dfr/2691.htm for a copy of the application and information on where to submit the application. Child Care Development Fund (CCDF) The CCDF program provides financial assistance for child care for families who are working or enrolled in school. More information may be found at: http://www.in.gov/fssa/carefinder/3900.htm (in the left column, click on Child Care Assistance – Child Care Development Fund). Women, Infants, and Children (WIC) Relative placements that care for infants and children up to age five (5) may be eligible to participate in the WIC program when the relative’s children are Medicaid eligible. WIC is a supplemental food and nutrition program and participants receive vouchers that are redeemed for specified nutritious foods at designated groceries. Such foods consist of baby formula, cereal, eggs, milk, peanut butter, juice and other foods to meet a child’s specialized needs. WIC participants also receive nutrition education, nutrition counseling, and referrals to other health services if needed. Additional information on applying is located at http://www.in.gov/isdh/19691.htm. WIC representatives are also available at 1-800-522-0874 or email inwic@isdh.in.gov.

FORMS AND TOOLS

1. Case Plan (SF2956)- available in MaGIK 2. Inventory of Personal Items (SF54315) 3. Financial Assistance Options for Relative Caregivers Brochure 4. Relative Resource Guide 5. Relative Home Environment Checklist (SF55106) 6. Application for Assistance, Food Stamps, Cash Assistance, Health Coverage 7. Request for Additional Funding (SF54870) 8. Claim for Support of Children Payable from Family & Children Funds (SF28808) 9. Direct Deposit Authorization (SF51519) 10. Relative Parent Travel Invoice (SF54891) 11. Relative Parent Travel Instructions 12. Automated Direct Deposit Authorization Agreement (SF47551) 13. W-9 Request for Taxpayer Identification Number and Certification 14. W-9 and Direct Deposit Form Instructions 15. W-9 and Direct Deposit Form Q & A