Forms

TANF Statement of Earnings

This form is used by people applying for TANF. The form is used to determine who the primary wage earner is for TANF benefits when there are two parents in the household.

• 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.