104.51 Processing a Withdrawn Application

An applicant may voluntarily withdraw their application at any time prior to the eligibility determination.

The CAO will discuss any misunderstanding of Cash Assistance requirements or agency procedures to prevent an applicant from unwisely or unnecessarily withdrawing their application.

55 Pa. Code § 125.24(c)(7)(vii)(B)

If the applicant withdraws the application, the CAO must take the following actions:

Have the applicant complete and sign a Voluntary Withdrawal Form ( PA 1829 ) .

Check the program from which the applicant is withdrawing.

Get the applicant’s signature and record the date.

Record in the "Comments" section the reason for withdrawal, if the applicant gave a reason.

NOTE: The PA 1829 is preferred but if the applicant submits a written statement the following should be included in the statement.

List of person(s) in the household and programs they are withdrawing from .

Reason for withdrawal.

Applicant's signature and date.

Deny Cash Assistance benefits using Reason Code 063.

Reject the application in eCIS.

Record in case comments the reason for withdrawal.

Send a Notice to Applicant to notify the applicant that the application was denied because of the withdrawal request.

55 Pa. Code § 125.24(c)(6)

If the applicant is determined ineligible prior to withdrawing the application the CAO must correctly deny the application for program ineligibility and send proper notice. See Sections 104.52 and 104.53 .