Page 517

VIRGINIA DEPARTMENT OF SOCIAL SERVICES RENEWAL APPLICATION FOR AG, SNAP AND TANF

10/24 VOLUME V, PART XXIV, PAGE 26

RENEWAL APPLICATION FOR AG, SNAP AND TANF

FORM NUMBER - 032-03-729A

PURPOSE OF FORM - To record a household's situation in order to renew or recertify eligibility.

USE OF FORM – This application is limited to renewal or recertification. This application may not be used in lieu of an application to apply for initial benefits, to reapply for benefits after a lapse in certification, or to protect the date of application. For AG, this application must be accompanied by Auxiliary Grant Supplemental Renewal Application (032-03-729C) to be a valid application.

NUMBER OF COPIES - One.

DISPOSITION OF FORM – This application must be completed at the time of the eligibility review. The completed application must be filed in the eligibility case record.

INSTRUCTIONS FOR PREPARATION OF FORM – The renewal application must be completed in its entirety, depending on the program requested. For example, the Resources section is needed for AG and SNAP, but this section may be omitted for TANF renewals. For an application for AG only, the TANF and SNAP sections may be omitted.

TRANSMITTAL #35

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Page 517

Official source

VIRGINIA DEPARTMENT OF SOCIAL SERVICES RENEWAL APPLICATION FOR AG, SNAP AND TANF

10/24 VOLUME V, PART XXIV, PAGE 26

RENEWAL APPLICATION FOR AG, SNAP AND TANF

FORM NUMBER - 032-03-729A

PURPOSE OF FORM - To record a household's situation in order to renew or recertify eligibility.

USE OF FORM – This application is limited to renewal or recertification. This application may not be used in lieu of an application to apply for initial benefits, to reapply for benefits after a lapse in certification, or to protect the date of application. For AG, this application must be accompanied by Auxiliary Grant Supplemental Renewal Application (032-03-729C) to be a valid application.

NUMBER OF COPIES - One.

DISPOSITION OF FORM – This application must be completed at the time of the eligibility review. The completed application must be filed in the eligibility case record.

INSTRUCTIONS FOR PREPARATION OF FORM – The renewal application must be completed in its entirety, depending on the program requested. For example, the Resources section is needed for AG and SNAP, but this section may be omitted for TANF renewals. For an application for AG only, the TANF and SNAP sections may be omitted.

TRANSMITTAL #35