Current through Register No. 40, October 3, 2024
(a) A financial assistance to needy families
(FANF) assistance group (AG) requesting an extension of financial assistance
beyond the 60-month lifetime limit shall provide the verification described
below within 10 days of the date the AG signed the request for an extension
described in
He-W
602.08(d) :
(1) For an extension pursuant to
He-W
602.08(c) (1) , the casehead shall
participate in:
a. An individualized
assessment pursuant to
45
CFR 260.55; and
b. The development of the service plan which
is completed by a person trained in domestic violence as specified in
45
CFR 260.55(c) , and either:
1.Provide the following corroborative evidence that
verifies the claim:
(i) Court,
medical, criminal, child protective services, psychological or law enforcement
records, or a statement from a social service provider;
(ii) A written statement from a social worker
from a public or private social service agency;
(iii) A written statement from a social
worker from a public or private social service agency providing domestic
violence services; or
(iv) Sworn
statements from an individual other than AG members with knowledge of the
circumstances; or
2.If not able to provide corroborative evidence as
described in b.1. above, submit a signed, written statement that indicates:
(i) The existence of the battering or
extreme cruelty and that compliance with the FANF financial assistance lifetime
limit would make it more difficult for the AG to escape the domestic violence;
(ii) That the FANF financial
assistance lifetime limit would unfairly penalize the AG which is or has been
victimized by such violence; or
(iii) That the FANF financial assistance
lifetime limit would put the AG at further risk of domestic violence;
(2) For an extension pursuant to
He-W
602.08(c) (2) a., documentation
pursuant to
He-W 637.07(e)
along with a signed, written statement
describing the specific actions the AG has taken to obtain adequate child care;
(3) For an extension pursuant to
He-W
602.08(c) (2) b., the financial AG
shall provide:
a. Documentation pursuant to
RSA
167:82,II(f) stating the
duration and limitations of the AG member's disability; and
b. For a subsequent extension request per
He-W
602.16(c) , verification that the
casehead has applied for the aid to the permanently and totally disabled
program, Supplemental Security Income (SSI), Social Security Disability Income
(SSDI), and/or all other potential disability benefits pursuant to
He-W
652.07;
(4) For an extension pursuant to
He-W
602.08(c) (2) c., documentation
pursuant to
RSA
167:82,II(g) that indicates
the nature of the relative's physical or mental condition and the expected
duration of the condition, and a separate written and signed statement
indicating that no alternate care is available or feasible;
(5) For an extension pursuant to
He-W
602.08(c) (2) d., the AG shall
provide documentation that the applicant is currently an active participant in
the treatment program, signed by the drug, alcohol, or mental health program
director or his or her designee;
(6) For an extension pursuant to
He-W
602.08(c) (2) e., the AG shall
provide:
a. Verification that the individual
has applied for or is not eligible to receive unemployment compensation
benefits; and
b. Verification that
the job loss was not due to reasons described at
RSA
167:82,III(c) and (d)
;
(7) For an extension pursuant to
He-W
602.08(c) (2) f., the AG shall
provide verification pursuant to
He-W
606.104(b) or any other
documentation that establishes the existence of an emergency or
life-threatening circumstance; and
(8) For an extension pursuant to
He-W
602.08(c) (2) g., the AG shall
provide a signed and dated statement from a state certified education
professional licensed to certify for learning disabilities or a licensed
psychologist indicating that the adult in the case who has received FANF
financial assistance for 60 months has a learning disability that prevents the
adult from working, participating in work-related activities, or preparing for
work.
(b) If a member
of the AG is convicted pursuant to
RSA 167:17-c of
knowingly providing false material information on a signed, written statement
pursuant to
He-W
602.08(d) , the AG's hardship
extension shall be terminated pursuant to
RSA
167:17-b,II.
#7470, eff 4-1-01; amd by #7918, eff 8-1-03; ss by #9433,
eff 4-1-09; ss by #9775, eff 9-1-10