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Title: Section 350.4 - Use of the application form.

350.4 Use of the application form. (a) The State-prescribed form must be completed:

(1) For each individual adult case and for each family case by category.

(2) When a child is transferred from foster care to HR or ADC unless the HR or ADC grantee is already in receipt of assistance in the program under which the child's needs are to be met.

(3) When there is a permanent change in grantee in an ADC case.

(4) When the assistance or care is to be given by a different district.

(5) In the event of a reapplication more than 30 days following a case closing. For cases closed but reopened within 30 days, the requirements of Part 351 of this Article shall not be waived.

(6) For a new ADC-foster care case, in the event responsibility for care and placement of a child in foster care shall have been explicitly imposed on the social services official by court order.

(b) The State-prescribed form is not required to be completed under the following circumstances: For a person continuously in receipt of some form of assistance or care from the same district, the application form completed at the time of original application will suffice. Transfers or reclassifications except as required under subdivision (a) of this section need not be confirmed by completion of a new State-prescribed form. When a case has been denied, reapplication within 30 days does not require a new State-prescribed form.

(c) Signatures required. Signatures on the State-prescribed form are required as follows:

(1) In family applications, both the husband and wife shall sign. In situations where the man in the family is not married to the mother, both the mother and the man, if he is to be included in the grant, shall sign the application form.

(2) Where the case involves a single parent family, the head of the household shall sign.

(3) Where the case involves a single individual, such individual shall sign.

(4) In any case where the applicant, whose signature is required, is incapable of signing the application because of physical incapabilities, or mental incompetency, the application shall be signed on behalf of such person by his authorized representative.


VOLUME A (Title 18)