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There are some other forms and publications that agencies are required to distribute at specific times during the W-2 application process, and there are some forms that are available in the event that CWW is not functioning. Below is a list of these forms, a description of each form, and guidance as to when the form or publication must be distributed to applicants.
W-2 Benefits and Services Offered at Wisconsin
Works Agencies (11890-P)
This brochure provides a one-page description of the benefits and services
available at the W-2 agency. All W-2 agencies are required to provide
this brochure to every individual who requests assistance of any kind
from the W-2 agency. W-2 agencies must have a supply of the brochure
available in all of the public locations within their offices. In
addition, at a minimum, it is suggested that the W-2 agencies ensure a
supply of the publication is available for Greeters, Receptionists, and
Resource Specialists to give to people with whom they speak.
What
to Bring With You (2372-P)
The What to Bring With You publication describes the types of documentation
an applicant may need to provide in order to verify specific information
needed to determine W-2 eligibility. This publication must be given
to the applicant at the time s/he inquires about the W-2 program. This
publication is also used for various Medicaid/BadgerCare Plus programs
as well as the FS, Child Care, and CTS programs.
W-2 Rights and Responsibilities (398-P)
The W-2 Rights and Responsibilities brochure outlines a participant’s rights
and responsibilities when participating in W-2, Child Care, FSET
and RCA programs. This form must be provided to participants
and reviewed during the application process.
Addendum
to Application (2378-1)
Distribute this paper form when the Wisconsin Works (W-2) and Related Application
paper form (2471) is completed. Because CARES generates a printed version
of this form at the end of the interactive interview along with the CARES-generated
CAF, it is not necessary to distribute the paper version
unless CWW is unavailable. However, some W-2 agencies prefer to
offer this paper form to applicants prior to the interactive interview
and the resulting CARES generated Addendum so that the applicant is aware
of the general requirements of W-2 before completing the application process.
Wisconsin
Works (W-2) Participation Agreement (10755)
The W-2 Participation Agreement (PA) outlines the basic participation requirements
for a W-2 participant. During the application process, the FEP
must provide this form to the applicant and thoroughly review it. After
the agreement has been discussed, the worker, applicant, and all adults
in the W-2 Group must sign it. The agency must give the participant
a signed copy of the PA and scan the original
into ECF.
The PA is important throughout the individual’s time in W-2 because it outlines the requirements of W-2 participation. W-2 agencies may review the PA at EP updates, W-2 reviews, and as necessary. W-2 agencies may refer back to the PA if the participant claims not to have known or understood a specific W-2 provision that was explained in the PA.
Good
Cause Notice (DWSP-2018)
The W-2 agency must provide the Good Cause Notice form to all W-2 applicants
and participants. The notice shall be provided to applicants when they
apply for W-2 and to participants when a child is added to the W-2
Group, when a parent leaves the W-2 Group, at reapplication
for continued benefits, and if a participant discloses to his or her FEP
that the participant is experiencing circumstances that may meet the CS
good cause criteria. A signed copy of this notice must be
scanned into ECF. For other relevant CS-related forms and publications,
see 15.1 and 15.3.3.1.
Notice
of Assignment: Child Support, Family Support, Maintenance, And Medical
Support form (2477)
W-2 agencies are required to give all W-2 applicants the Notice of
Assignment: Child Support, Family Support, Maintenance, And Medical
Support form. Those applicants being referred to the local CSA,
or applicants already receiving services from the local CSA, must sign
the Notice of Assignment form acknowledging the assignment of child support
or at least an understanding of how child support payments are assigned
if they begin receiving child support payments while receiving W-2 services.
(See 15.1) A signed copy of this notice must be scanned into ECF.
W-2
Barrier Screening Tool Agreement (13578)
W-2 agencies are required to offer the BST to all W-2 applicants prior to the initial W-2 placement.
(See 5.4.1) The W-2 Barrier Screening Tool Agreement (13578)
must be given to the applicant to help explain the purpose of the screening
and the types of follow-up services that may result from completing it.
Applicants must indicate at the bottom of the agreement their decision
to complete the screening process or decline to be screened. A signed
copy of this notice must be scanned into ECF.
Domestic
Violence Brochure (2614)
W-2 agencies are required to provide a copy of the Domestic Violence Brochure
at the appointment with the RS. For safely reasons, it is important
that W-2 agency staff point out the brochure so that the applicant can
decide if it is safe to keep. Including the brochure in a stack
of other papers may put the applicant/participant at risk if she/he is
unaware of its presence.
This
page last updated in Release # 11-02
Release Date: 04/07/11
Effective Date: 04/07/11