Form 24 Ex PDF Details

For many individuals and families, navigating the complexities of receiving aid can be challenging, particularly when facing the potential end of benefits. The 24 Ex form, a critical document within the Transitional Aid to Families with Dependent Children (TAFDC) program, serves as a lifeline for those seeking to extend their benefits beyond the standard 24-month period. This form is not just a procedural step; it represents hope and a pathway for continued support. Applicants are required to provide detailed information, including their reasons for requesting an extension, their efforts to find employment, and whether certain conditions such as child care, child support, transportation, and employment opportunities influence their need for further assistance. A notable aspect of the process is the timing of extension requests, which can be made after 22 months of receiving time-limited benefits, or anytime thereafter, but with a determination made only as the initial 24 months conclude. The 24 Ex form underscores the program's intent to foster self-sufficiency while acknowledging the barriers that many face in achieving financial independence. It demands honesty and thoroughness from applicants, reflecting an understanding that circumstances vary widely and that some may need additional time to overcome the challenges that prevent them from leaving the TAFDC program.

QuestionAnswer
Form NameForm 24 Ex
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesparticipating, Attachment, Transitional, tafdc extension approval

Form Preview Example

 

 

OM 2012-37

 

 

Page 4

 

 

Attachment A

Extension Request

 

________________________________________

__________________________

 

Client Name

Social Security Number

 

 

_____________________________

 

 

 

Other Parent Name

Social Security Number

If you wish to request an extension of your Transitional Aid to Families with Dependent Children (TAFDC) benefits, you must complete this form and give your case manager any requested verifications. If you do not complete this form, you will not be considered for an extension and your TAFDC benefits will end.

You should read the TAFDC Extensions Beyond the 24-Month Period brochure to understand what you will have to do if you get an extension. If you need another copy of the brochure, ask your case manager.

You may request an extension after you have used 22 months of time-limited benefits or at any time after you have received 24 months of time-limited benefits.

Your extension request will be approved or denied only when your 24 months of time- limited benefits end. You will receive a written notice telling you whether your request has been approved or denied. If your request is denied, you may ask again for an extension any time during the period you are ineligible for TAFDC after having received 24 months of time-limited benefits.

Part I

(A)I request an extension of my 24-month time-limited benefits because:

(B)I did the following to cooperate with the Department in work-related activities, find work and prepare to support my family.

Part II

(A) Do you have child care?

yes no

 

If no, explain.

 

 

 

 

 

 

 

 

(B) Is the noncustodial (absent) parent paying child support?

yes no If no, explain.

 

If yes, how much?

 

 

 

 

 

 

24-EX (11/2012)

 

 

02-754-1112-05

 

 

 

OM 2012-37

Page 5

(C) Do you have transportation?

yes no

 

If no, explain.

 

 

 

 

 

 

 

(D) Have you refused or rejected job offers?

yes no

 

If yes, explain.

 

 

 

 

 

 

 

 

 

 

Have you quit a job or reduced your work hours?

yes no

If yes, explain.

 

 

 

 

 

 

 

 

If working part-time, have you received an offer to increase your hours?

yes no

(E)Are you now participating in Employment Ready or other program(s) to get a job?

yes no If no, explain.

Client Signature

Date

 

 

 

 

Case Manager Signature

Date

 

 

Supervisor Signature