WAG 27: Authorization of Assistance Action (Form 552)

Table of Contents

Item 1- Cat., Family Community Resource Center, Group No., Basic Number
Item 2 - Effective Date
ITEM 3 - TYPE ACTION
Item 4 - Definer
Item 5 - Caseload
Item 6 - Approval
Item 7 - Transmittal
Item 8 - Name
Item 9 - Street
Item 10 - City, State, Zip Code
Item 11 - Other PA
Item 12 - Nation of Origin
Item 13 - Race
Item 14 - Reserved
Item 15 - SNAP
Item 16 - Prop
Item 17 - Vol Sponsor Agcy
Item 18 - Primary Spoken Language
Item 19 - Group Home, Including CILA
Item 20 - H.H. Arr
Item 21 - Lang. Ind.
Item 22 - No. Liv. Tog
Item 23 - No. SNAP Elig/Eat Tog
Item 24 - SNAP
Item 25 - No Mec ID Only
Item 26 - Reserved
Item 27 - M.E.C. Rest.
Item 28 - Case Class
Item 29 - SNAP Income
Item 30 - Redetermination Date
Item 31 - Last Opening
Item 32 - Case Certified

Item 67 - Marital Status
Item 68 - Activity
Item 69 - Match
Item 70 - Vet Status
Item 71 - Ed. Level
Item 72 - Work Exp.
Item 73 - WT Hel. Cond.
Item 74 - Citizenship
Item 75 - Social Security Number
Item 76 - Last Med. Determ Date
Item 77 - Last Beginning Med. Elig. Date
Item 78 - Type Benefit
Item 79 - TPL
ITEM 80 - NEEDS/ INFORMATIONAL
80-01 - TANF
80-02 - AABD
80-03 - Reserved
80-04 - SNAP
Item 81 - DCFS Region Number
Item 82 - RRP Provider Name
Item 83 - RRP Provider Number
Item 84 - RRP End Date
Item 85
Item 86
Item 87-89 - Reserved
ITEM 90 - INCOME
ITEM 91 - ASSETS/RECOUP
Item 92 - Date Processing Total
Item 93 - Special Messages
Item 94 - IL LINK Acct. No.
Item 95 - Printout Number
Item 96 - Remarks