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7005 Volume III | Chapter 7

7. That each applicant for or recipient of TANF benefits must sign a MDHS-EA-312, Personal Responsibility Contract acknowledging his/her responsibilities to the State. 8. That TANF benefits will be denied or terminated for any family who fails to assign rights of child support to the State (MDHS-EA-941) or who fails without good cause to cooperate with activities required to establish paternity or obtain child support. 9. That the TANF benefit will be limited to children existing at the time the family is first approved for assistance or born within the first 10 months of benefits, unless the child meets an exemption. 10. That all dependent children ages 6 through 17 years must attend school satisfactorily to avoid sanctions on the TANF grant and food stamp benefit amount, unless good cause is met. 11. That all TANF dependent children must be immunized as recommended by the Department of Health to avoid case sanctions, unless there is good cause. 12. The method of maintaining benefits, reporting problems with availability of benefits and receipt of debit cards. 13. The facts that the use of the benefit is generally unrestricted and that the agency complies with the Civil Rights Act of 1964. See Chapter 7, Payment Process, for restrictions on benefit use. 14. Services for which the individual or family may be eligible, such as family planning, SNAP, TWP, WIC, Vocational Rehabilitation, and child support. Explain the applicant's responsibilities for such services. Give him/her all appropriate forms, pamphlets and referrals, including but not limited to: Form MDHS-EA-941, Notice of Child Support Enforcement, and the child support payments for a TANF child must be designated to come through IV-D and that cooperation with Child Support staff is a requirement for all programs and child support payments for a TANF child must be designated to come through IV-D. This form must be completed by the recipient at application, reapplication, adding a child to the case, or after an alleged father has been excluded through genetic testing and the recipient must name another alleged father. 15. TANF Work Program requirements as outlined in Chapter 3. This explanation should include TANF Work exemptions including the requirement for non-exempt TANF MISSISSIPPI [ ELIGIBILITY DETERMINATION PROCESS: THE APPLICATION PROCESS]

Revised 07 - 01 - 17