The Link Illinois Redetermination form is a crucial document for individuals and families receiving benefits through the State of Illinois Department of Human Services. This form helps ensure that your Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) benefits continue without interruption. Completing this form accurately and submitting it on time is essential for maintaining your access to these vital resources.
The Link Illinois Redetermination form plays a crucial role in ensuring that individuals and families continue to receive essential benefits such as Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) cash assistance. This form is not just a bureaucratic requirement; it serves as a lifeline for many who rely on these benefits to meet their daily needs. When completing the form, applicants must provide comprehensive information about their household, including the names and relationships of all individuals living with them, as well as their employment status and income sources. Changes in health insurance, job status, and any additional income must also be reported to maintain eligibility. The form requires signatures to validate the information provided, underscoring the importance of accuracy and honesty in the application process. Additionally, applicants need to disclose their housing costs and any assistance they receive for utilities, ensuring that all factors influencing their financial situation are considered. By understanding the components of the Link Illinois Redetermination form, individuals can navigate the process more effectively, ensuring they remain connected to the support they need.
What is the Link Illinois Redetermination form?
The Link Illinois Redetermination form is a document used by individuals receiving SNAP (Supplemental Nutrition Assistance Program) benefits and TANF (Temporary Assistance for Needy Families) cash assistance in Illinois. It helps the Department of Human Services assess your ongoing eligibility for these benefits. Completing this form is crucial to ensure that your benefits continue without interruption.
Why do I need to complete the Redetermination form?
You need to complete the Redetermination form to verify your current circumstances and to confirm that you still qualify for assistance. This form collects information about your household, income, and any changes in your living situation. If you do not submit it by the due date, your benefits may be discontinued.
How do I submit the Redetermination form?
You can submit the form in two ways. First, you can complete and sign the form, then return it in the enclosed envelope by the specified due date. Alternatively, you can bring the completed form to your scheduled appointment with the Department of Human Services. Make sure it is signed, as an unsigned form will not be considered valid.
What happens if I miss the due date for submitting the form?
If you miss the due date, your SNAP benefits may end, and you may need to reapply for assistance. It's essential to submit the form on time to avoid any gaps in your benefits. If you find yourself in this situation, contact your local DHS office as soon as possible to discuss your options.
What information do I need to provide on the form?
The form requires various details, including names and birthdates of all household members, income information, changes in employment, and any other financial assistance received. You may also need to attach supporting documents, such as pay stubs or income statements, to validate the information provided.
What if my situation changes after I submit the form?
If your situation changes after you submit the Redetermination form, you must inform the Department of Human Services immediately. This includes changes in income, employment status, household composition, or address. Keeping them updated ensures that your benefits accurately reflect your current circumstances.
Missing Signature: Failing to sign the form is a common mistake. Without a signature, the application cannot be processed.
Incomplete Information: Leaving out details about household members can lead to delays. Ensure that all individuals living with you are listed, including their full names and relationships.
Incorrect Income Reporting: Not accurately reporting income can jeopardize benefits. Include all sources of income and attach necessary documentation, such as pay stubs.
Neglecting Changes in Employment: Failing to report new jobs or job losses is crucial. This information affects eligibility and benefit amounts.
Ignoring Additional Income: Overlooking other income sources, like child support or social security, can lead to incomplete applications. All income must be reported.
Address Changes: Not updating your address can result in missed communications. If you have moved, provide your new address promptly.
Utility Payments: Failing to disclose utility payments or assistance can impact your benefits. Be sure to report any help you receive or pay for utilities.
Child Care Costs: Not mentioning expenses for child or adult care can lead to a loss of potential deductions. Report these costs accurately.
Missing Deadlines: Not submitting the form by the due date can result in a loss of benefits. Pay attention to the deadline and ensure timely submission.
State of Illinois
Department of Human Services
2(Permanent)
Redetermination Application
Date of Notice:
Case I.D.:
Phone:
Caseload:
Write your name and address in the space below if not on form.
Your SNAP benefits will end
. To keep getting benefits on your regular availability date,
complete, sign and:
return this form in the enclosed envelope by:
(Due Date); or
bring the form with you to your scheduled appointment.
To be considered a valid application, this form must be signed.
If you receive TANF Cash, this form must be completed for your cash benefits to continue.
1. LIST ALL PERSONS LIVING WITH YOU, INCLUDING YOURSELF.
EATS WITH YOU
FULL NAME
BIRTH DATE
RELATIONSHIP
YES
NO
For additional persons, please attach a separate sheet.
2.
If you receive an HFS Medical Card, has your health insurance changed?
Yes
No
3.
Does anyone get paid for working?
No If YES, enter their name below. Attach copies of the last 4 pay
stubs if paid weekly, last 2 pay stubs if paid every other week or twice a month, and the last pay stub if paid monthly.
If self-employed, attach your income and expense statement. If someone got tips that are not on their pay stubs, tell us:
Who?
and total amount of tips received in the last 30 days. Total Tips $
List the Name of
Everybody Who is
Working
Employer
If a person works more than one job list all the employers.
Rate of Pay
Hours Worked
Weekly
How often is the person paid? Weekly, every 2 weeks, twice a month, monthly, other?
4.
Did anyone start a new job?
5.
Did anyone stop working, or did their job end?
If YES, complete the information above.
No If YES, enter name, reason, and final pay date.
IL444-4765 (R-05-14) Redetermination Application
Page 1 of 2
Printed by the Authority of the State of Illinois PO #15-0229 12,000 Copies
6. During the last 30 days did anyone receive any other income such as Child Support, Social Security, SSI, Unemployment,
VA, Worker's Compensation, contributions, or any other money?
If YES, complete the box below.
Name
Type of Income
Amount
How Often
7. Do you expect any changes in anyone's income or employment?
No If YES, what is the change?
When do you expect this change to happen?
8. Have you moved or changed your address?
No If YES, give us your new address.
9. How much is your:
Rent? $
Lot Rent? $
Mortgage? $
Enter any taxes and homeowner's insurance paid separately $
Are any of these paid by someone else?
If YES, tell us who and how much:
10. Did you receive an energy assistance payment of $21 or more this month or in any of the last 12 months from the Low
Income Home Energy Assistance Program (LIHEAP) (in Chicago paid through CEDA)?
Answering yes will not reduce your benefits. If no, are you billed separately from your rent or mortgage for heat or air
conditioning, or excess cost for heat or air conditioning?
Note: Air conditioning is a window air or central air conditioning unit.
If NO, do you pay any other utilities?
If YES, what utilities?
Does anyone help pay your utilities?
No If YES, who and what utilities?
11. Does anyone pay child support?
No If YES, who makes the payments, how much, and how often?
12. Do you pay for someone to care for a child or disabled adult so you can work, look for a job, or receive training?
No If YES, who is the care for, who provides the care, how much do you pay for the care, and how often?
13.Does anyone who is age 18 or over attend a school, other than a high school, half-time or more? If YES, who?
14. Does someone in your unit who is 60 or older or disabled have monthly medical expenses of $36 or more?
15. Has any person who is receiving Cash assistance from DHS been convicted of a felony involving drugs?
See enclosed page for important information about your application.
SIGNATURE
By signing below, I swear or affirm, under penalty of perjury, the answers on this application are true and correct to the best of my knowledge.
Signature:
Daytime or Cell Phone Number:
Date:
Page 2 of 2
Printed by the Authority of the State of Illinois
PO #15-0229 12,000 Copies
When filling out the Link Illinois Redetermination form, it is important to follow certain guidelines to ensure your application is processed smoothly. Here are ten things to keep in mind:
Following these tips can help ensure that your application is complete and that you maintain your benefits without interruption.
The Link Illinois Redetermination form is a crucial document for individuals seeking to maintain their SNAP and TANF benefits. However, there are several other forms and documents that may accompany this application to ensure a smooth and complete process. Understanding these documents can help applicants prepare adequately and avoid delays in their benefits.
By gathering these documents along with the Link Illinois Redetermination form, applicants can streamline the process and enhance their chances of receiving uninterrupted benefits. Proper preparation can make a significant difference in ensuring that all necessary information is provided and that eligibility is maintained.
Here are four common misconceptions about the Link Illinois Redetermination form:
This is incorrect. Completing and submitting the form is mandatory to maintain your SNAP or TANF benefits. If you do not submit it by the due date, your benefits will end.
All individuals living in the household must be listed on the form, including their income and employment status. This information is necessary for an accurate assessment of your benefits.
This is false. You must report any changes in income or employment as they occur. Failure to do so can affect your eligibility and benefit amount.
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