350.4 Use of the application form.
(a) The State-prescribed form must be completed:
(1) For each individual adult case and for each
family case by category.
(2) When a child is transferred from foster
care to Safety Net or Family Assistance unless the Safety Net or Family Assistance grantee
is already in receipt of assistance in the program under which the child's needs are to be
met.
(3) When there is a permanent change in grantee
in a Family Assistance case.
(4) When the assistance or care is to be given
by a different district.
(5) In the event of a reapplication more than
30 days following a case closing. For cases closed but reopened within 30 days, the
requirements of Part 351 of this Article shall not be waived.
(6) For a new foster care case, in the event
responsibility for care and placement of a child in foster care shall have been explicitly
imposed on the social services official by court order.
(7) When able-bodied individuals become
ineligible for Family Assistance by reason of the durational limits on receipt of
assistance under section 369.4(d) of this Title and members of the household desire to
receive Safety Net Assistance; provided, however, that applications shall be made using an
abbreviated State form prescribed for the purpose and provided further, that such
households in receipt of Family Assistance may be reclassified as Safety Net Assistance
recipients without application if the failure to submit an application is the result of
district error, delay or inaction. In scheduling and rescheduling application interviews,
if a recipient contacts the district to report an inability to attend, the social services
district shall take into account hardships, such as a full-time employment schedule or
extraordinary transportation difficulties. For purposes of this paragraph, an able-bodied
individual is one who is not exempt from the requirements to participate in work
activities as set forth in 12 NYCRR 1300.2.
(b) The State-prescribed form is not required to be completed under
the following circumstances: Except as required under paragraph (7) of subdivision (a) of
this section, for a person continuously in receipt of some form of assistance or care from
the same district, the application form completed at the time of original application will
suffice. Transfers or reclassifications except as required under subdivision (a) of this
section need not be confirmed by completion of a new State-prescribed form. When a case
has been denied, reapplication within 30 days does not require a new State-prescribed
form.
(c) Signatures required. Signatures on the State-prescribed form are
required as follows:
(1) In family applications, both the husband
and wife shall sign. In situations where the man in the family is not married to the
mother, both the mother and the man, if he is to be included in the grant, shall sign the
application form.
(2) Where the case involves a single parent
family, the head of the household shall sign.
(3) Where the case involves a single
individual, such individual shall sign.
(4) In any case where the applicant, whose
signature is required, is incapable of signing the application because of physical
incapabilities, or mental incompetency, the application shall be signed on behalf of such
person by his authorized representative.