General Assistance - Selected Resources

Links to Other Resources are now provided through the "Links" button to the left or by clicking here.

Family Stabilization Program
TANF Emergency Rule #89E – Creation of a limited temporary program called Family Housing Stabilization

2009-2010 Ordinance: [right click on link and "save target as"]

Ordinance & Appendices [pdf] OR  Ordinance & Appendices [Word] Updated 10/22/09

2009-2010 Ordinance Maximums:

Kennebec County Corrections Memo 10/22/09

Maximums Memo  9/21/ 2009

Ordinance Maximums, 2009 - 2010

Appendix A,
Appendix B,
Appendix C, Updated 10/22/09
Summary Sheets

Adoption of Ordinance Appendixes A - C [PDF]     Word Version

HUD Fair Market Rents 2010 for Existing Housing

MAXIMUM ALLOWANCES  10/1/2008-10/1/2009 [ Word]

Department of Human Services G.A. Policy Manual [Word] to State Site

DHHS/General Assistance Verification Form and Release of Information [ Word]

Sample General Assistance Notice, City of Portland [Word]

Sample Genral Assistance Rental Agreement Form, City of Portland

Sample Biddeford   Food & Personals & Supplies Guidelines [Word Version]

Sample Auburn Food & Personals & Supplies Guidelines [Word]

GA Application and Instructions - Non-interactive GA Application & Instructions to print and fill in.

GA - Application Updated from City of Biddeford  [Word Version]

Forms:

• Sample Biddeford Job Search / Employment Verification   [Word Version]
• Sample Auburn Job Search [Excel]
• Sample Auburn Training Schedule [Word]
• Sample Auburn Employer Form [Excel]
• Sample Biddeford   Landlord Verification of Rental Unit   Page One | Page Two   [Word Version]
• Sample Auburn Landlord Verification [Word]
• Sample Portland  Interpreter Services Form [Word]
• Sample Portland  Educational Program Verification Form (ESL) [Word]
• Sample Decision - Eligibility
• Sample Decision - Ineligibility
• Sample Auburn Decision [Excel]
• Sample Biddeford  Request for a Fair Hearing  [Word Version]
• Sample Request for Fair Hearing
• Sample Notice of Fair Hearing
• Sample Notice of Fair Hearing Decision
• Sample Workfare Agreement
• Sample Auburn Workfare Assignment [Excel]
• Sample Narrative Case Record

Confidentiality and Disclosure of Information Policy/Forms:

• Sample Biddeford Client Confidential Information Request [Word Version]
• Sample Biddeford Request For Confidential Employer Information
  [Word Version]
• Sample Biddeford  Release of Information   [Word Version]
• Sample Portland  Release of Information [Word Version]
• Sample Auburn Release of Financial Information [Excel]
• Sample Request for Confidential Information - General
• Sample Request for Confidential Information - Financial
• Sample Request for Confidential Information - Medical
• Revised Medical Release Form, City of Portland
• Sample Information Confidentiality Policy/Agreement
• Sample General Information Disclosure Form
  

Sample Burial or Cremation Services form, City of Portland

HUD Fair Market Rents 2010 for Existing Housing

"You are Entitled to a Free Interpreter" Poster  
[The City of Lewiston has generously made their poster, in 20 languages, available for use. Print, remove the top line, and use.]

Sample Application for Funeral Assistance & Family Financial Status Application

U.S. Department of Health and Human Services Food Stamps: Basis of Issuance (48 States and District of Columbia)