PM 18-01-01.

Use the following forms, based on the type of additional benefit requested:

  • Request for Therapeutic Diet Allowance (Form 146)
  • Request for Assistance for Additional Family Member (Form 243)
  • Substitute Parental Care/Supplemental Child Care Request (Form 1932)

NOTE: 1. Do not use Form 1932 to request a supportive service payment related to work and training programs.

2. Complete and send Notice of Decision on Request for Financial Assistance (Form 1934).

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For MANG clients who request cash see WAG 18-02-00.