Forms

TANF Dependent Living Agreement

TANF applicants or recipients who live with another household must complete this form at the time of application or review or if their living arrangement changes. The form is used to determine living arrangements for TANF applicants or recipients who share shelter expenses with other household members.

• This form is located on the forms & publications page.

Once you have completed this form, submit it to your local Department of Social Services office. If you have a question about this form, contact your local Department of Social Services office.