Appendix A: Applications/Renewal Chart, Forms to Distribute/Complete

NOTE: Other specialized forms may be necessary.

Type of Household	Application	Renewal	These Forms May Also Be Required as Applicable Miscellaneous
TANF	PA 253 or PA 253RF PA 600 PA 4 PW 764 PA 1661	PA 253 or PA 253RF PA 600R PA 4 PW 764 PA 1595 PA 1661	PA 635 or PA 586 PA/CS173WP PA 1680 PA 1747
Length of period - 6 months - not subject to semiannual reporting.
Length of period - 12 months - subject to semiannual reporting. ***See Chapter 104, Appendix A. for client information brochures

Reissued September 25, 2012, replacing January 31, 2012