Verification of TANF funding should also be reviewed during regularly scheduled RZs.
Wisconsin field offices (FOs) with on-line access to the State of Wisconsin databases
can verify through this system if TANF payments are being paid by state or federal
funds. If the FO is unable to verify the funding source through other means, Exhibit
II may be used for verification.
Exhibit I--Sample Letter for Verifying TANF funding in Wisconsin
DO Address
Date:
Wisconsin DWD
Address
To Whom It May Concern:
We have been informed that ____________(NAME)______ _____ (ADDRESS) __________ has
been receiving TANF payments. This individual has filed for Supplemental Security
Income (SSI) payments and is eligible for payment. Our records show the following
information.
Social Security Number: ___________ Date of Entitlement: _____________
TANF Claim Number: ______________ Estimated Date of First Check: _______
Type of Benefit: Aged_______ Blind________ Disabled_______
Please verify whether the TANF payment received by ______(NAME)______ is being paid
with federal or state funds.
We need this information monthly for the entire period requested (from the SSI date
of entitlement through the TANF ineligibility date). Please complete the information
below and return this form in the envelope provided. If you have any questions please
contact
Name (SSA Employee) Title____________ Telephone Number ___________
Sincerely,
District Manager
Date of Entitlement to TANF:___________ Type of Grant: ________________
Funding Source for Grant: Federal Funds_______ State Funds_______
Date of change from federal funding to state only funding: ____________
Name (TANF Worker) Title _____________ Phone Number_____________ Agency_______________________
Date _____________________
Exhibit II--Sample Fax for Verifying Caretaker Supplement Information in Wisconsin
Request for Confirmation of Wisconsin Caretaker Supplement
Payment Information---- FAX: 608-221-0991 (All entries must be completed)
TO: State SSI Caretaker Supplement Unit/EDS
P.O. BOX 6680
MADISON, WI 53716-0680
FROM: UNIT NUMBER: ____________________
SOCIAL SECURITY ADMINISTRATION
___________________________________
___________________________________
FO Phone: __________________________ FO Fax: ___________________
Parent's Name:_______________________ SSN: _____________________
Parent's Name:_______________________ SSN:______________________
Child's Name: _______________________ SSN:______________________
Who is considered the first eligible child on this case?
Name: _____________________________ SSN:______________________
What was the source of funds for the Caretaker Supplement for this child for the period:
________________ through __________________ ?
**************************************************************
State Caretaker Supplement/EDS REPLY
Period of Time: Source of Funds (Circle one)
(MM/YR) through (MM/YR) State = "S" TANF = "T"
________ ________ = S or T
________ ________ = S or T
________ ________ = S or T
________ ________ = S or T