Complete Form 552:

  • Item 1 - Complete if doing a TA 42 to change category between 04 and 94 or 06 and 96.
  • Item 2 - Enter 4-digit date.
  • Item 3 - Use TA 34 if category remains the same. Use TA 42 if changing category. (You must use TA 42 to delete a parent from an 06 case and change category to 04.)
  • Items 4, 5, 6, 22, 33, 44 - Complete.
  • Items 60-74, 77-79 - Line through for the person being deleted. Change Items 62 and 63 for the children if deleting a parent who has left the home. If the deleted person remains in the home and eligible for FS, add them by reentering applicable items below.
  • Items 23, 80, 90, 91 - Complete if applicable.