TANF Application Forms by State

62
total templates

Filing a Temporary Assistance for Needy Families (TANF) Application – also known as a TANF Benefits Application – is the first step in applying for a program that helps families with children when the parents, legal guardians, or other responsible relatives are unable to provide for the basic needs of their family – food, housing, utilities, and expenses other than medical.

TANF Application Forms by State

Each state and county decides which benefits it will provide to families that require financial assistance and other support services like work assistance, child care assistance, and job preparation. States have the right to broad flexibility in carrying out their programs – they decide the type and amount of payments, the range of other services, and the eligibility rules for applicants. The specific eligibility criteria differ from state to state – you need to know which requirements to meet to obtain financial assistance payments and other types of services and benefits.

Alabama Hawaii Massachusetts (e-filing only) New Mexico (e-filing only) South Dakota
Alaska Idaho Michigan New York Tennessee
Arizona Illinois Minnesota North Carolina (apply at a local DSS office) Texas
Arkansas (by phone only) Indiana (e-filing only) Mississippi North Dakota Utah
California (e-filing only) Iowa (apply at a local DHS office) Missouri Ohio Vermont
Colorado Kansas Montana (e-filing only) Oklahoma Virginia
Connecticut Kentucky Nebraska (e-filing only) Oregon Washington
Delaware Louisiana Nevada Pennsylvania West Virginia
Florida (e-filing only) Maine New Hampshire Rhode Island Wisconsin
Georgia Maryland (apply at a local DHR office) New Jersey (e-filing only) South Carolina Wyoming

What Is the Purpose of the TANF Program?

The purpose of the government-funded TANF program is to provide assistance to families in need so that the children are cared for in their own homes, promote job preparation and employment, reduce and prevent the dependency of parents on government benefits, and encourage the maintenance of families by emphasizing personal responsibility. In most cases, the TANF benefits are available for a maximum of five years.

General eligibility requirements for the TANF program are as follows:

  • You are pregnant or have a child under age 19 who lives with you;
  • If your child is 18, they must be a full-time student who graduates from high school before 19;
  • You are a U.S. citizen or an eligible immigrant;
  • You are prepared to develop a plan to become self-sufficient and are ready to follow it. 

What Does TANF Provide?

When you complete a TANF Application Form, you request the following services: 

  • Temporary cash assistance for basic needs – food, housing, clothing, etc.;
  • Transitional services that help families become financially independent – GED preparation, postsecondary education, English classes, job readiness training, job retention services, help with child care, and transportation;
  • Screening for issues related to mental health and substance abuse and referrals to services that can help address them. 

Not the program you were looking for? Check out these related topics:

Documents

62

Formulario DHS-2 "Solicitud De Asistencia" - Rhode Island (Spanish)

Rate (4.5 / 5) 22 votes
Size: 1 MB
40 pages

Form DHS-2 "Application for Assistance" - Rhode Island

Rate (4.6 / 5) 11 votes
Size: 1 MB
40 pages

Form PA-77 "Intent to Apply for Ktap, Medicaid, State Supplementation, and/Or Child Care Assistance" - Kentucky

Rate (4.4 / 5) 31 votes
Size: 120 KB
5 pages

Form APP01 "Application for Benefits" - Maine

Rate (4.4 / 5) 35 votes
Size: 1 MB
18 pages

Form DHR-FAD690 "Application for Assistance" - Alabama

Rate (4.8 / 5) 6 votes
Size: 132 KB
3 pages

Form 100 "Application for Food Benefits, Cash, Medical, and Child Care Assistance" - Delaware

Rate (4.5 / 5) 26 votes
Size: 326 KB
19 pages

Formulario 100 "Solicitud De Prestaciones De Alimentos, Asistencia Monetaria, Asistencia Medica Y De Guarderia" - Delaware (Spanish)

Rate (4.4 / 5) 34 votes
Size: 301 KB
19 pages

Formulario 297 "Solicitud De Beneficios" - Georgia (United States) (Spanish)

Rate (4.8 / 5) 14 votes
Size: 501 KB
14 pages

Form 297 "Application for Benefits" - Georgia (United States)

Rate (4.3 / 5) 17 votes
Size: 260 KB
14 pages

Form MDHS-EA-900 "Temporary Assistance for Needy Families (TANF) Application Supplemental Nutrition Assistance Program (Snap) Application" - Mississippi

Rate (4.7 / 5) 12 votes
Size: 234 KB
6 pages

BFA Form 800 "Application for Assistance" - New Hampshire

Rate (4.6 / 5) 18 votes
Size: 488 KB
4 pages

BFA Formulario 800 "Solicitud De Asistencia" - New Hampshire (Spanish)

Rate (4.4 / 5) 19 votes
Size: 144 KB
6 pages

DFA Formulario 77U "Se Necesita Un Pueblo" - New Hampshire (Spanish)

Rate (4.7 / 5) 22 votes
Size: 70 KB
3 pages

DFA Form 77U "It Takes a Village" - New Hampshire

Rate (4.3 / 5) 20 votes
Size: 200 KB
2 pages

Form SFN405 "Application for Assistance" - North Dakota

Rate (4.7 / 5) 21 votes
Size: 4 MB
24 pages

Form PA600 "Application for Benefits" - Pennsylvania

Rate (4.4 / 5) 22 votes
Size: 1 MB
28 pages

Form DSS-CC-975 "Child Care Benefits Application for TANF Approved Activities and Employment" - South Dakota

Rate (4.5 / 5) 20 votes
Size: 157 KB
2 pages

Form DFS100 "Application for Assistance" - Wyoming

Rate (4.8 / 5) 19 votes
Size: 1 MB
19 pages

Formulario DFS100 "Solicitud De Asistencia" - Wyoming (Spanish)

Rate (4.5 / 5) 22 votes
Size: 15 MB
22 pages

Formulario FAA-001A "Solicitud De Bene Ficios" - Arizona (Spanish)

Rate (4.3 / 5) 27 votes
Size: 2 MB
54 pages

Form HW2000 "Application for Assistance" - Idaho

Rate (4.8 / 5) 10 votes
Size: 322 KB
19 pages

Form ES-3100 "Application for Benefits" - Kansas

Rate (4.7 / 5) 21 votes
Size: 6 MB
32 pages

Form DHS-3043 "TANF Eligibility Determination" - Michigan

Rate (4.6 / 5) 86 votes
Size: 138 KB
1 page

Formulario MDHS-EA-900S "Solicitud De Asistencia Temporal Para Familias Necesitadas (TANF) Solicitud Para El Programa Suplementario De Asistencia Nutricional (Snap)" - Mississippi (Spanish)

Rate (4.8 / 5) 29 votes
Size: 130 KB
5 pages

BFA Formulario 811R "Solicitud: Sus Derechos Y Responsabilidades" - New Hampshire (Spanish)

Rate (4.5 / 5) 14 votes
Size: 74 KB
2 pages

BFA Formulario 811S "Resumen De La Solicitud: Declaraciones De Entendimiento" - New Hampshire (Spanish)

Rate (4.6 / 5) 19 votes
Size: 136 KB
3 pages

BFA Form 811S "Application Summary: Statements of Understanding" - New Hampshire

Rate (4.8 / 5) 20 votes
Size: 279 KB
2 pages

BFA Form 811R "Application: Your Rights and Responsibilities" - New Hampshire

Rate (4.7 / 5) 9 votes
Size: 326 KB
2 pages

Form LDSS-2921 "Application for Certain Benefits and Services" - New York

Rate (4.8 / 5) 5 votes
Size: 1 MB
28 pages

DSS Form 3800 "Application for the Fi Program, Snap Program and Refugee Assistance (Ra) Program" - South Carolina

Rate (4.3 / 5) 32 votes
Size: 1 MB
13 pages

Form HS-0169 "Family Assistance Application" - Tennessee

Rate (4.8 / 5) 10 votes
Size: 242 KB
2 pages

Form H1010 "Food Benefits (Snap), Healthcare (Medicaid and Chip), or Cash Help for Families (TANF) Application" - Texas

Rate (4.8 / 5) 14 votes
Size: 2 MB
32 pages

Form H1200 "Application for Benefits - People Age 65 and Older, People With Disabilities" - Texas

Rate (4.4 / 5) 28 votes
Size: 2 MB
23 pages

Form DCF-F-DWSP2471 "Wisconsin Works (W-2) and Related Programs Application" - Wisconsin

Rate (4.6 / 5) 16 votes
Size: 77 KB
10 pages

Form FAA-0001A "Application for Benefits" - Arizona

Rate (4.8 / 5) 22 votes
Size: 2 MB
51 pages

Formulario HW2000S "Solicitud De Asistencia" - Idaho (Spanish)

Rate (4.6 / 5) 10 votes
Size: 346 KB
19 pages

Formulario ES-3100S "Solicitud De Beneficios" - Kansas (Spanish)

Rate (4.3 / 5) 30 votes
Size: 6 MB
28 pages

Formulario DHS0415F "Solicitud De Servicios" - Oregon (Spanish)

Rate (4.5 / 5) 20 votes
Size: 2 MB
19 pages

Form DHS0415F "Application for Services" - Oregon

Rate (4.7 / 5) 6 votes
Size: 2 MB
19 pages

Formulario PA600-S "Solicitud De Beneficios" - Pennsylvania (Spanish)

Rate (4.3 / 5) 13 votes
Size: 1 MB
28 pages