IM-49 REVISED FORM IM-1TA APPLICATION FOR TEMPORARY ASSISTANCE CASH BENEFITS

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Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISED FORM IM-1TA APPLICATION FOR TEMPORARY ASSISTANCE CASH BENEFITS

FORM REVISION # 2

IM-1TA

 

DISCUSSION:

The IM-1TA has been revised. Use this updated form immediately and discard all previous versions.

 Changes to the application include:

  • The length of the application has been reduced to 30 pages. The pages scanned to the ECM can be further reduced by:
    • Removing pages 1 – 4.
    • Removing unused pages found at the end of the form.
  • Questions follow CONFLOWS in the eligibility system
  • Additional questions including:
    • Diversion question.
    • All Declaration questions.
    • Begin dates for:
      • Resources
      • Burial Plans
      • Employment
      • Did you receive income from this job this month or last month?
  • The Voter Registration card has been removed from the application and will need to be sent or given to applicants with the IM-1TA form.

The updated IM-1TA can be found in the online forms manual and on https://mydss.mo.gov/, click on “Apply”. In addition, a limited number of paper copies are available through the Department of Social Services (DSS) Warehouse.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/hrp