TANF Approval – Individual Disqualification, Felony Drug Conviction

When Used: TANF approved, but household member disqualified due to a Felony Drug Conviction occurring on or after July 1, 2013

Special Instructions:  Append the TANF Approval NOA

*PERSON NAME* is ineligible for cash assistance due to a felony drug conviction which occurred on or after July 1, 2013.  The conviction occurred on *MM/DD/YYYY* and results in ineligibility for cash until *MM/DD/YYYY*.

Spanish Translation:

*Nombre de la persona* no es elegible para recibir asistencia de dinero en efectivo debido a una condena por un delito mayor relacionado con drogas que se produjo desde el 1 de julio de 2013 inclusive.  La condena se produjo el * fecha * y causa la no elegibilidad para el dinero en efectivo hasta el * fecha*.