W806: Work Program Payment Approval
When Used: The W806: Work Program Payment Approval standard copy and paste text should to be used in the V808 until further notice, see below.
Special Instruction: Use the V808.
Work Program Payment Approval
Please see the statement marked "X" below:
<☐>We will give transportation payments to participate in *ACTIVITY NAME for the following months: *DATE(S). The amount of the monthly payment is $AMOUNT, and will be added to your Kansas Benefits cash account.
<☐>We are ending the transportation payment for *PERSONS NAME because *REASON ACTIVITY ENDED.
<☐>We will give you a one-time payment for *PURPOSE OF PAYMENT. The amount of the payment is *AMOUNT, and will be added to your Kansas Benefits cash account.
<☐>We sent a one-time payment to *VENDOR NAME on *PAYMENT DATE. This payment is for *PERSON NAME.
This action is based on Kansas Economic and Employment Support Manual (KEESM) section 3400.
If you disagree with agency actions, you have Fair Hearing rights. DCF must get a written request within 30 days of notice date.
Please read the last page of this letter. It has important information. It tells about your right to a fair hearing.
If you have questions, call: <OFFICENAME> at <OFFICEPHN> between the hours of 8 am and 5 pm Monday through Friday.
Spanish Translation:
When Used: When the Spanish Work Program Payment Approval form is needed. The W806: Work Program Payment Approval form is not able to be printed centrally or locally in Spanish.
Special Instruction: Use the V808.
Aprobación del pago del programa de trabajo
Lea la frase marcada con una “X” a continuación:
<☐>Proporcionaremos pagos de transporte para que participe en *ACTIVITY NAME durante los siguientes meses: *DATE(S). La cantidad del pago mensual es de $AMOUNT. y se sumará a su cuenta de efectivo de los Beneficios de Kansas.
<☐>Finalizaremos el pago de transporte para el *ACTIVITY NAME porque *REASON ACITIVTY ENDED.
<☐>Le proporcionaremos un pago único para *PURPOSE OF PAYMENT. La cantidad del pago es de *AMOUNT, y se sumará a su cuenta de efectivo de los Beneficios de Kansas.
<☐>Enviamos un pago único a *VENDOR NAME el *PAYMENT DATE. Este pago es para *PERSONS NAME.
Esta medida se basa en el Manual de Apoyo Económico y al Empleo de Kansas (KEESM), sección 3400.
Si no está de acuerdo con las medidas de la agencia, tiene derecho a una audiencia imparcial. El DCF debe recibir una solicitud por escrito dentro de los 30 días posteriores a la fecha del aviso.
Tenga a bien leer la última página de esta carta. Presenta información importante. Le informa sobre su derecho a una audiencia imparcial.
Si tiene preguntas, llame a <OFFICENAME> al <OFFICEPHN> en el horario de 8 a.m. a 5 p.m. de lunes a viernes.