Section He-W 602.10 - Required Verification(a) A financial assistance to needy families (FANF) assistance group (AG) requesting an extension of financial assistance beyond the 60-month lifetime limit shall provide the verification described below within 10 days of the date the AG signed the request for an extension described in He-W 602.08(d) : (1) For an extension pursuant to He-W 602.08(c) (1) , the casehead shall participate in: a. An individualized assessment pursuant to 45 CFR 260.55; andb. The development of the service plan which is completed by a person trained in domestic violence as specified in 45 CFR 260.55(c) , and either: 1.Provide the following corroborative evidence that verifies the claim:
(i) Court, medical, criminal, child protective services, psychological or law enforcement records, or a statement from a social service provider;(ii) A written statement from a social worker from a public or private social service agency;(iii) A written statement from a social worker from a public or private social service agency providing domestic violence services; or (iv) Sworn statements from an individual other than AG members with knowledge of the circumstances; or 2.If not able to provide corroborative evidence as described in b.1. above, submit a signed, written statement that indicates:
(i) The existence of the battering or extreme cruelty and that compliance with the FANF financial assistance lifetime limit would make it more difficult for the AG to escape the domestic violence; (ii) That the FANF financial assistance lifetime limit would unfairly penalize the AG which is or has been victimized by such violence; or (iii) That the FANF financial assistance lifetime limit would put the AG at further risk of domestic violence; (2) For an extension pursuant to He-W 602.08(c) (2) a., documentation pursuant to He-W 637.07(e) along with a signed, written statement describing the specific actions the AG has taken to obtain adequate child care; (3) For an extension pursuant to He-W 602.08(c) (2) b., the financial AG shall provide: a. Documentation pursuant to RSA 167:82,II(f) stating the duration and limitations of the AG member's disability; and b. For a subsequent extension request per He-W 602.16(c) , verification that the casehead has applied for the aid to the permanently and totally disabled program, Supplemental Security Income (SSI), Social Security Disability Income (SSDI), and/or all other potential disability benefits pursuant to He-W 652.07;(4) For an extension pursuant to He-W 602.08(c) (2) c., documentation pursuant to RSA 167:82,II(g) that indicates the nature of the relative's physical or mental condition and the expected duration of the condition, and a separate written and signed statement indicating that no alternate care is available or feasible;(5) For an extension pursuant to He-W 602.08(c) (2) d., the AG shall provide documentation that the applicant is currently an active participant in the treatment program, signed by the drug, alcohol, or mental health program director or his or her designee; (6) For an extension pursuant to He-W 602.08(c) (2) e., the AG shall provide: a. Verification that the individual has applied for or is not eligible to receive unemployment compensation benefits; andb. Verification that the job loss was not due to reasons described at RSA 167:82,III(c) and (d) ;(7) For an extension pursuant to He-W 602.08(c) (2) f., the AG shall provide verification pursuant to He-W 606.104(b) or any other documentation that establishes the existence of an emergency or life-threatening circumstance; and (8) For an extension pursuant to He-W 602.08(c) (2) g., the AG shall provide a signed and dated statement from a state certified education professional licensed to certify for learning disabilities or a licensed psychologist indicating that the adult in the case who has received FANF financial assistance for 60 months has a learning disability that prevents the adult from working, participating in work-related activities, or preparing for work. (b) If a member of the AG is convicted pursuant to RSA 167:17-c of knowingly providing false material information on a signed, written statement pursuant to He-W 602.08(d) , the AG's hardship extension shall be terminated pursuant to RSA 167:17-b,II. N.H. Admin. Code § He-W 602.10
#7470, eff 4-1-01; amd by #7918, eff 8-1-03; ss by #9433, eff 4-1-09; ss by #9775, eff 9-1-10
Amended by Volume XXXVIII Number 50, Filed December 13, 2018, Proposed by #12676, Effective 11/20/2018, Expires 11/20/2028.