Work First 104 – THE APPLICATION INTERVIEW

IX. DOCUMENTING THE CASE RECORD

The case record must contain documentation of all eligibility factors, including the applicant’s statements, agency requests for information, and third-party verifications. The DSS 8228 (WFFA Documentation Workbook) may be used, or the county may develop its own information forms. Counties are strongly encouraged to use the DSS-8228. However, if an agency chooses to use an alternate form, the agency must ensure that the alternate form includes all eligibility criteria, provides the applicant with all required notices and complies with Title VI of the Civil Rights Act and the Americans with Disabilities Act as outlined in the DSS-8228.

The applicant’s signature on a thoroughly documented information form serves as verification for information for which applicant statement is acceptable. Date stamp or write in ink the date all information is received, including information received at intake. When the applicant signs the information form at application, ensure the applicant understands their signature indicates they:

• Have answered the questions truthfully; and
• Understands that willfully providing incorrect information could result in fraud charges; and
• Authorizes investigation of eligibility for assistance by the county department of social services

NOTE: If an application is denied or withdrawn and the applicant reapplies within 45 days from the original application date, it is not necessary to document all eligibility factors again. Documentation from the original application may be used to document eligibility at reapplication.