Page 1651

West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 16 Chapter 20 Emergency and Special Assistance Programs

20.2.3 APPLICATION PROCESS 20.2.3.A Application Forms 20.2.3.A.1 DFA-2 and DFA-EA-1 These forms are used for all EA applications. See Section 1.3 for use of the DFA-2 forms and the proper use of the DFA-5 form. 20.2.3.A.2 DFA-RR-1 The sections of this form titled “Emergency Assistance” and “For All Programs” must be completed and signed, when using the DFA-2. The DFA-RR-1 is not required when using the DFA-EA-1. See Section 1.3. 20.2.3.A.3 Completion of Form DFA-6 and/or Verification Checklist When the Worker does not have sufficient information to make a decision, it is necessary to complete Form DFA-6 or verification checklist to inform the applicant of the additional information needed. All requests for verification must be made using the DFA-6 form and/or verification checklist. The Worker must clearly state on the form what items must be returned by the applicant, as well as the date by which the information must be returned. The failure to return information or the return of incomplete or incorrect information that prevents a decision from being made on the application will be considered failure to provide verification and will result in a denial of the application.

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Page 1651

Official source

West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 16 Chapter 20 Emergency and Special Assistance Programs

20.2.3 APPLICATION PROCESS 20.2.3.A Application Forms 20.2.3.A.1 DFA-2 and DFA-EA-1 These forms are used for all EA applications. See Section 1.3 for use of the DFA-2 forms and the proper use of the DFA-5 form. 20.2.3.A.2 DFA-RR-1 The sections of this form titled “Emergency Assistance” and “For All Programs” must be completed and signed, when using the DFA-2. The DFA-RR-1 is not required when using the DFA-EA-1. See Section 1.3. 20.2.3.A.3 Completion of Form DFA-6 and/or Verification Checklist When the Worker does not have sufficient information to make a decision, it is necessary to complete Form DFA-6 or verification checklist to inform the applicant of the additional information needed. All requests for verification must be made using the DFA-6 form and/or verification checklist. The Worker must clearly state on the form what items must be returned by the applicant, as well as the date by which the information must be returned. The failure to return information or the return of incomplete or incorrect information that prevents a decision from being made on the application will be considered failure to provide verification and will result in a denial of the application.