Get the free AFFIDAVIT OF CONTINUED ELIGIBILITY - IN.gov

Indiana Department of Administration PROCUREMENT DIVISION SCM Approval Process Version 17.0406 An oversight/agency Approver will review an SCM Contract Document after it has been signed by the vendor,

How to fill out affidavit of continued eligibility

How to fill out affidavit of continued eligibility

1. Read the instructions: Start by carefully reading the instructions provided along with the affidavit of continued eligibility form.
2. Gather necessary information: Collect all the required information such as name, address, contact details, social security number, income details, and any other supporting documents.
3. Complete personal information: Fill out the personal information section including your full legal name, current address, date of birth, and social security number.
4. Provide income details: Specify your current income, including wages, benefits, pensions, and any other sources of income.
5. Include household information: Mention the number of people living in your household, their relationship to you, and their income details if applicable.
6. Sign and date the form: After carefully reviewing the information provided, sign and date the affidavit.
7. Submit the form: Make copies of the completed form for your records and submit the original to the appropriate authority as instructed in the guidelines.

Who needs affidavit of continued eligibility?

1. Individuals receiving government assistance programs such as Medicaid, SNAP (Supplemental Nutrition Assistance Program), TANF (Temporary Assistance for Needy Families), or other similar programs may need to submit an affidavit of continued eligibility.
2. Those who are applying or currently receiving financial aid, scholarships, or grants for education may also be required to complete this affidavit.
3. Some employers or organizations providing employee benefits may request employees to fill out an affidavit of continued eligibility to ensure eligibility for certain benefits.
4. Eligibility for certain public services, discounts, or special programs may also require individuals to provide an affidavit of continued eligibility.

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What is affidavit of continued eligibility?

The affidavit of continued eligibility is a form that must be completed by individuals to confirm that they still meet the requirements for a particular benefit or program.

Who is required to file affidavit of continued eligibility?

Individuals who are receiving a benefit or participating in a program that requires regular eligibility verification are required to file an affidavit of continued eligibility.

How to fill out affidavit of continued eligibility?

To fill out the affidavit of continued eligibility, individuals must provide updated information about their current circumstances and sign the form to confirm its accuracy.

What is the purpose of affidavit of continued eligibility?

The purpose of the affidavit of continued eligibility is to ensure that individuals who are receiving benefits or participating in programs continue to meet the eligibility requirements.

What information must be reported on affidavit of continued eligibility?

On the affidavit of continued eligibility, individuals must report any changes to their income, household size, or other factors that may affect their eligibility for the benefit or program.