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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 14 Chapter 1 Application/Redetermination Process

Program and Form ID Name of Form When to Use Due Date of Additional Information Agency Time Limits Emergency Assistance (EA) DFA-2 Application for All Programs of Assistance Applicant is being considered for all programs. The Worker must clearly state on the DFA-6 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. A decision must be made on all applications as soon as possible, if the emergency currently exists, or prior to an imminent emergency but no later than three business days from the date of application.

DFA-EA-1 Emergency Assistance Application Applicant wishes to be considered for EA only. Low Income Energy Assistance Program (LIEAP) DFA-2

WV PATH Application for All Programs of Assistance Applicant is being considered for all programs. Applicants must be allowed 15 calendar days to return verification. Applications ready for processing by the local DOHS office must be sent to that office on a daily basis with a signed and dated list with the name and address of each applicant. Applications held in excess of 30 days by any outside agency are not accepted.

DFA-LIEAP- 1 LIEAP Application Applicant wishes to be considered for LIEAP only. DFA-LIEAP- 1b Supplemental LIEAP Form Applicant is being considered for LIEAP.