Title: CASH ASSISTANCE
Author: Karen Otto
Last saved by: Joanne Putnam
Company: FDLES

NOTICE:  CASH ASSISTANCE TIME LIMIT ENDING

Assessment and Review Appointment Letter

Date:	*Last Four Digits of the SSN:

Participant Name:	 RFA: 

Participant’s Address:	  

Dear,

Based on the information received from the Department of Children and Families, your last month of Temporary Cash Assistance is:  ___________________________________.

We must meet with you to assess your employment progress and barriers to becoming employed.  Together we will identify the steps necessary for you to become employed before your cash assistance ends.  Your appointment date and time is:

         DATE:
	
         TIME:

         ADDRESS:  
                              
                              ,   - 
During this meeting, you will be given an opportunity to request an extension of your time limits through the hardship extension process.  If you cannot keep this appointment, you must call to reschedule.  If you do not call, you may lose your cash assistance and/or food stamps.

If you have applied for Social Security Disability Income (SSDI) or Supplemental Security Income (SSI), you may be eligible for an extension to your time limits while you are awaiting a final decision.  The application must be current, including appeals.  Please bring documentation regarding the status of your application. You can obtain a statement regarding the status of your application from your local Social Security Administration Office.

You are required to attend this appointment.  If you have any questions about your Obligations and Opportunities as a participant in the Welfare Transition Program, please see the back of this letter.  You may also call me at the above phone number.

Sincerely,

RWB Provider:	Phone:  

*You have not been asked to provide your social security number on this form.  For your information however, the Social Security Act (42 U.S.C. 1137) provides that your social security number may be used to administer the program, including determination of eligibility, attributing the receipt of services, correspondence and participation, as well as for reporting purposes.

AWI-WTP 0004, December 2006 (Replaces AWI-WTP 0004, 7/2003)
An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.

OPPORTUNITIES AND OBLIGATIONS

YOUR OPPORTUNITIES	YOUR OBLIGATIONS

You have the opportunity to:	You are required to:

*	Receive help paying for support services (if approved) in	*	Participate in, document and complete assigned program 
	order  to find employment, education, or other assigned		activities.
	activity (ies), unless you are able to make these arrangements	
	on your own. Support services may include, but are not limited	*	Respond to all contacts from the Regional Workforce Board or
	to: child care, transportation, tools, clothing, uniforms, etc.		other agencies you are referred to.
	(This help is based on your assigned activity and the	
	availability of funding.)	*	Inform Regional Workforce Board of changes in participation,
				employment, family circumstances including change of address, 
*	Have decisions about your case reviewed by a supervisor at 	telephone number, child care needs, transportation problems,
	the Regional Workforce Board.		health problems, etc.

*	Request a hearing if you disagree with a decision about 	*	Apply for and seek employment.
	your temporary cash assistance.
		*	Accept any reasonable offer of suitable employment.
*	Be excused from or rescheduled for an activity if you have	
	good  cause.  Good cause is determined by the Regional	*	Remain employed.  Must contact Regional Workforce Board
	Workforce Board.		prior to reducing your hours or quitting.

*	Request Cash Assistance Severance Benefit.	*	Report good cause reasons for failure to participate immediately.

*	Request Relocation assistance.

*	Receive the following services, if eligible:
	 - Mental Health Counseling	 - Domestic Violence Counseling/Services and/or	 - Substance Abuse Counseling/Services

*	Receive transitional benefits, if eligible, after you are no longer receiving temporary cash assistance, based on funding availability, such as:     - Child care	 - Transportation	 - Education and Training	

*	Receive Medicaid and food stamp benefits based on eligibility requirements.

CONSEQUENCES FOR FAILURE TO PARTICIPATE

	CASH ASSISTANCE PENALTIES	FOOD STAMP PENALTIES

*	1^st Penalty:  Cash assistance terminated for entire	*  1^st Penalty:  Loss of food stamp assistance for one month or until 
	family for a minimum of 10 days or until the 	    compliance, whichever is longer.
individual complies, whichever is later.

*	2nd Penalty:  Cash assistance terminated for entire	*  2nd Penalty:  Loss of food stamp assistance for three months or until 
	family for one month or until the individual who failed	    compliance, whichever is longer.
	to comply does so, whichever is later.

*	3^rd Penalty:  Cash assistance terminated for entire	*  3^rd Penalty:  Loss of food stamp assistance for six months or until
	family for three months or until the individual who 	    compliance, whichever is longer.
	failed to comply does so, whichever is later.

NOTE:  Cash assistance may be continued on a level	NOTE:  If the non-compliant individual is the head of household, food
	two or three penalty for children under age 16 through	stamp assistance for the entire assistance group will be terminated unless
	a protective payee.	that individual meets a food stamp exemption.