Publications
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified based on household income information.
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a child who is a beneficiary of Temporary Assistance for Needy Families (TANF).
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified if a parent or guardian chooses to fill out one form for both a foster child and other children also residing in the household.