Address and Phone

This page will display address and phone information that we have on file for the applicant. You can change any information that is incorrect or needs to be added. You must have a mailing address on file with us. The home address is optional. If you need to delete the home address then select the checkbox that is above the home address. This will delete that particular address from your records. You can also enter a home or other type of phone, and an e-mail address. Once you are done, then click the "Next" button.




Household Members

This page will display the members that are currently part of your household. You can remove people from your household if you would like. To the right of the person listed, there should be a remove button for everyone except for the payee (or guardian). You can remove people from your household that way. Newly added people will have a "Change" button select "Change" to update the information for that person. If you need to add people to your household, then select "Yes" to the question at the bottom that asks if anyone else lives in your home. This will take you to a screen where you can add people, or restore people that have been previously removed from your household.




New or Change Household Members

If you are adding a person, please fill in the information and click next. If you do not want to provide a SSN online, You can select the box stating that you prefer not to declare a SSN. If you don't provide one, This person may not be included in the TANF, Food Benefits or Medical benefits until a Social Security Number or proof of application for a Social Security Number has been provided.

If you are adding an Undocumented Alien or prefer not to say, then this person may not be included in the TANF, Food Benefits, Child Care benefit or Medical benefit until Citizenship Status has been declared and/or verified.

If you are changing a person, the information we currently have will show. Change what you need to and then click 'Next'.




New or Change Household Members

If you are adding a person, please fill in the information and click next. If you do not want to provide a SSN online, You can select the box stating that you prefer not to declare a SSN. If you don't provide one, This person may not be included in the TANF, Food Benefits or Medical benefits until a Social Security Number or proof of application for a Social Security Number has been provided.

If you are adding an Undocumented Alien or prefer not to say, then this person may not be included in the TANF, Food Benefits, Child Care benefit or Medical benefit until Citizenship Status has been declared and/or verified.

If you are changing a person, the information we currently have will show. Change what you need to and then click 'Next'.




Person in Long Term Care Facility

You will see this page if someone is currently in a Long Term Care Facility. Select whether they are still in a facility. If they are not, you must answer when the person left and where he/she now resides.




People Relationships

This page will allow you to set the relationships between people.

You will see a persons icon and name on the left, with the other person on the right. Between them is a drop down list of relations. Select the appropriate one and click 'Next'.




Pregnancy

This page will allow you to select any people that are pregnant. Only female members aged 10 and over will be in the list. If a member is pregnant, select the expected number of births and estimated date of delivery.




Permanently Disabled

For SNAP food benefits, a permanently disabled person is someone who receives one or more of these: For SoonerCare (Medicaid), a permanently disabled person is someone who receives Supplemental Security Income (SSI) or Social Security disability payments.




Household Summary

This page will give you a summary of all the people in the case. If you need to make a change, select change from the bottom and alter the information.




Employment

This page will give you a summary of household members and their employment, if they have any. If you need to add an employer to the household member, do so by clicking 'Add' to the right of the household member. If you need to make a change, select change to the right of the person and alter the employment information.




New Employment

This page will allow you to add a new employer.




Change Employment

This page will allow you to change any kind of employment information. If you wish to delete a job check the box that says 'Check here to delete this job'. You must also provide the date the employment ended, put that in the end date text box. (mm/dd/yyyy)




Self Employment

This page will allow you to add new self employer.




New Self Employment

This page will give you a summary of household members and their self employment, if they have any. If you need to add any self employment to the household member, do so by clicking 'Add' to the right of the household member. If you need to make a change, select change to the right of the person and alter the self employment information.




Change Self Employment

This page will allow you to change any kind of self employment information. If you wish to delete self employment check the box that says 'Check here to delete this self employment'. You must also provide the date the self employment ended, put that in the end date text box.




Unearned Income

This page will allow you to add or change unearned income that household members may have. Typical types of unearned income are, Veteran's Benefits, SSI, Social Security or Child support. To add any unearned income to a member, click 'Add' to the right of the member, to change any listed unearned income, click 'change' and then make the necessary changes.




Unearned Income

This page will allow you to change or delete unearned income that household members may have. To add any unearned income to a member, put in the amount in whole US dollars to the right of the type of unearned income. If it's not listed in the types, put it in other, and then use the drop down to select what type of unearned income it is. If you select the same type in the other fields, they will just add the 2 same type amounts together.




Income Summary

This page will give you a summary of all the people in the case and their income. If you need to make a change, select change from the bottom and alter the information.




Expenses

This page will give you a summary of household members and their expenses, if they have any. If you need to add an expense to the household member, do so by clicking 'Add' to the right of the household member. If you need to make a change, select change to the right of the person and alter the expense information.




Change or Add Expenses

This page will let you change a household members expenses. Enter the amount in whole US dollars next to the corresponding expense and click 'Next'.




Household Expenses

This page will let you add household expenses. Enter the amount in whole US dollars next to the corresponding household expense and click 'Next'.




Insurance

This page will show a list of all the insurance companies that are associated with the household. If you have any it will give you the opportunity to change it. If none are listed you can click the 'Add' button and add an insurance company to the household. When you are finished working with the insurance section click 'Next'.




Add Insurance

This page will allow you to select an insurance company that you have coverage through. If yours is not listed you can select 'other' from the drop down and add the new policy. When you are done, click 'Next'.




Change Insurance

This page will only allow you to delete insurance. If you need to change insurance then delete the one on record, if it's no longer applicable, and then add the new insurance.




Household Resources

This will show a list of resources that we have on file for each person. If you need to change or delete any listed resource information, select the 'Change' button next to their name. This will take you to a page where you can change or delete any existing resource. If you need to add a resource, select 'Add'. When you are done working with the resource information, select 'Next' at the bottom of the screen. Resources include assets such as checking or savings accounts, cars, burial policies, and other.




Change Household Resources

This page will let you change a household resource. Enter the amount in whole US dollars next to the corresponding resource and click 'Next'.




Real Estate

This page will show the information we have on file for your real estate. You can make any changes if necessary.




Bought or Sold Resources

This page will show a list of household members, check the people that have bought, sold, traded, or given away any resources.




Request Benefits page

This page will show a list of benefits you can choose to apply for. If the benefit that you want is greyed out, then someone else in the household already receives that benefit. You must contact your local OKDHS office in order to be added to that benefit. There is also a quick eligibility assessment that is run, it will let you know if you are 'potentially eligible' to receive that SNAP and Medical. Even if the assessment comes back and says you may not be eligible, you still have the right to apply.




Education and Training

You must provide your Training and Education. Answer if each household member is currently attending school, also provide their last grade completed and name of school.

If you currently have TANF on your case, you must state that you read and understand the information to continue receiving TANF. If you are unable to read the page or do not understand it, please contact your local OKDHS Human Services Center for assistance.




Incapacitated

This page will allow you to select the people that are incapacitated. You can only select people that are incapacitated if someone on the case receives the TANF benefit. Children do not show up in the incapacitated section.




Immunization

This page will list the immunization levels we have on file for the children listed, you can change the status if necessary.

You must also select that you understand that you must provide verification of immunization for children who are not attending school or going to a licensed child care provider, and that failure to do so will result in a 25% reduction of the TANF payment standard.




Lump Sum

This page will allow you to check that you read and understand the Lump sum policy.




Fleeing Felon

This page will allow you to select any people that are fleeing felons. All new adults and adults receiving SNAP will show up as a selection.




Child Support Cooperation

This page will allow you to select whether you want to cooperate with child support or not.




Absent Parent

This page will allow you to select whether there are absent parents or not.





New Absent Parent

This page will allow you to enter a new Absent Parent to your household.





Change Absent Parent

This page will allow you to change Absent Parent information.





Child Care

This page will allow you to view/change the day care that you receive.




New Child Care

This page will allow you to add a day care.




Change Child Care

This page will allow you to change a day care.




Child Care Need

This page will allow you to indicate a need for child care.




Child Care Need

This page will allow you to indicate a new need for child care.




Child Care Need

This page will allow you to change a need for child care.




Signature Page

This is the signature page.