SI DAL00830.401 Aid To Families With Dependent Children (AFDC)

A. Policy

National instructions in SI 00830.400D.8. require that when AFDC information is obtained orally, a request for written confirmation of the information be made. However, regions are allowed flexibilility to modify this requirement.

In the following States, no written request for confirmation of AFDC information is required:

Arkansas

Louisiana

New Mexico

Oklahoma

B. Field Office Procedures

Field offices in Arkansas, Louisiana, New Mexico, and Oklahoma should continue to follow all other instructions in SI 00830.400. with the exception of asking for written confirmation of AFDC information provided orally by the AFDC State agency.

The SS-RVI-310, AFDC Grant Information, is optional and can be used to record oral information obtained from the AFDC agency.

Current procedures continue to apply in Texas.

AFDC GRANT INFORMATION

Date: __________ SSN: ________________

SSI Recipient: ________________________________________________

Date of SSI Entitlement: ____________________

Approximate Date of Receipt of First SSI Check: _______________

The following information was obtained from:

AFDC Caseworker: ___________________ Phone #: _______________

Agency: ________________ Location: ________________________

The AFDC grant amount for each month the individual is both entitled to SSI and included in the AFDC grant is:

Mo/Yr

Thru

Mo/Yr

Monthly Grant Amount

Grant Amount if SSI Recipient Is Removed

______

-

______

__________

_____________________

______

-

______

__________

_____________________

______

-

______

__________

_____________________

______

-

______

__________

_____________________

______

-

______

__________

_____________________

Name of Caretaker included in the grant: _______________________

Names of all persons included in the AFDC grant: _______________

The last month the SSI recipient will be included in the AFDC grant is _______________________.

Remarks: _______________________________________________________

________________________________________________________________

________________________________________________________________

Information obtained by: ________________________________

(Name and Position)

SS-RVI-310 (04/94)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0500830401DAL
SI DAL00830.401 - Aid To Families With Dependent Children (AFDC) - 08/22/2006
Batch run: 01/27/2009
Rev:08/22/2006