685 Option D, DISC – CAO Closure of TCA prior to end of TCA period

Generic notice for CAO usage

On the date above, your Transitional Cash Assistance benefits are stopping because: ________________________________________________________________________________________________________________________________. You will receive a separate notice regarding your medical benefits. If you are receiving SNAP benefits, you will receive a separate notice if there is a change to your current SNAP benefits. L egal Authority: 62 P.S. §§ 403(b) and 432(1)

Reissued April 14, 2023 ; replacing December 11, 2017