Indiana § 12-14-1-3 Application; form; oath; required information; notice of assignment of
rights

Indiana Statutes

§ 12-14-1-3 — Application; form; oath; required information; notice of assignment of rights

Indiana·Art. 14 FAMILY ASSISTANCE SERVICES·Ch. 1 Temporary Assistance for Needy Families; Eligibility

An application must meet the following conditions:

(1)Be in writing.

(2)Be made in the manner and upon the form required by the division.

(3)Be made and verified by the oath of the parent or guardian of the dependent child or another person standing in loco parentis to the dependent child, or, in the case of an application made by a woman described in section 1(f) of this chapter, by the woman making the application.

(4)Contain the age and residence of the child or, in the case of a woman described in section 1(f) of this chapter, the length of the woman's pregnancy at the time of application, and any information required by rules adopted under IC 4-22-2 by the director of the division.

(5)Contain a notice that, if the application is approved and assistance is granted, the applicant's

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An application must meet the following
conditions:
(1) Be in writing.
(2) Be made in the manner and upon the form required by the
division.
(3) Be made and verified by the oath of the parent or guardian of
the dependent child or another person standing in loco parentis to
the dependent child, or, in the case of an application made by a
woman described in section 1(f) of this chapter, by the woman
making the application.
(4) Contain the age and residence of the child or, in the case of a
woman described in section 1(f) of this chapter, the length of the
woman's pregnancy at the time of application, and any
information required by rules adopted under IC 4-22-2 by the
director of the division.
(5) Contain a notice that, if the application is approved and
assistance is granted, the applicant's signature on the application
assigns the applicant's right to:
(A) accrued;
(B) present; and
(C) pending;
support payments to the agency of the state responsible for
administering Title IV-D of the federal Social Security Act.
[Pre-1992 Revision Citations: subdivisions (1), (2), (3), (4)
formerly 12-1-7-5 part; subdivision (5) formerly
12-1-7-5.1(a).]

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