SR 02-11 Dated 03/02

STATE OF NEW HAMPSHIRE

INTER-DEPARTMENT COMMUNICATION

 

SIGNATURE DATE:

February 6, 2002

FROM:

OFFICE OF THE DIRECTOR Mary Anne Broshek

AT (OFFICE):

Division of Family Assistance

TO:

DFA Supervisors

Managers of Administration

 

SUBJECT:

Revised Form 763, TANF Real Property Disposal and Reimbursement Agreement, and Form 819, TANF Unemployed Parent (TANF-UP) Worksheet

EFFECTIVE DATE:

March 1, 2002

 

SUMMARY

 

This SR releases technical revisions to:

 

·   Form 763, TANF Real Property Disposal and Reimbursement Agreement;

·   Form 819, TANF Unemployed Parent (TANF-UP) Worksheet; and

·   the forms’ respective instructions.

 

There are no policy changes associated with these revisions.

 

FORM REVISIONS

 

Form 763, TANF Real Property Disposal and Reimbursement Agreement, is used to meet state rules that allow:

 

·   provisional payments to be made to TANF financial assistance cases with excess real property resources, provided that the applicant agrees to dispose of the real property; and

·   Departmental reimbursement for cash assistance provided to TANF financial assistance cases during the disposal period.

 

Form 819, TANF Unemployed Parent (TANF-UP) Worksheet, is used primarily as a back-up form in case of system failure or power outage, to determine if the initial deprivation requirement of unemployment is met for a TANF Unemployed Parent case.

 

Revisions to Forms 763, 819, and their respective instructions were technical in nature and include:

 

·   title corrections to reflect organizational changes within DHHS (e.g., the term "Office of Economic Services" was replaced with the term "Division of Family Assistance"); and

·   minor reformatting of current text to enhance readability.

 

IMPLEMENTATION

 

District Offices may continue using the current version of Forms 763 and 819 until stocks are depleted. At that time, the revised version of Form 819 released by this SR may be ordered through the normal ordering methods. Form 763, however, will not be printed or retained in stock due to its infrequent use. District Offices must photocopy a small supply of Form 763 and retain a clean original for future photocopying.

 

CLIENT NOTIFICATION

 

No client notification is planned or needed.

 

TRAINING

 

No training is planned or needed.

 

POSTING INSTRUCTIONS

 

Remove and Destroy

Insert

 

Forms Manual

 

Form 763, SR 85-42/July 1985,

1 sheet

 

Form 763(i), SR 85-42/July 1985,

1 sheet

 

Form 819, SR 97-3/February 1997,

1 sheet

 

Form 819(i), SR 97-3/February 1997,

1 sheet

 

 

Form 763, SR 02-11/March 2002,

1 sheet

 

Form 763(i), SR 02-11/March 2002,

1 sheet

 

Form 819, SR 02-11/March 2002,

1 sheet

 

Form 819(i), SR 02-11/March 2002,

1 sheet

 

DISPOSITION

 

This SR may be deleted or destroyed once its contents have been noted, its posting instructions carried out, and the SR has been posted to the On-Line Manual.

 

 

 

DISTRIBUTION

 

This SR will be distributed according to the electronic distribution list for Division of Family Assistance policy releases. This SR will be available for agency staff in the On-Line Manual Library, and for public access on the Internet at http://www.dhhs.state.nh.us/PMIndex.htm, effective April 1, 2002.

 

This SR will be distributed under separate cover to all hard copy holders of the Forms manual.

 

DFA/JBV:s