TANF-ACF-PI-2010-09 (Q & A on the TANF Contingency Fund for Fiscal Years (FY) 2011 and 2012)
Months eligible as a Needy State:
Trigger Satisfied: _____________ Food Stamp Unemployment ___________________
Funds requested for fiscal year _____________
Indicate Below Request Method Option 1 or Option 2:
- Option 1 _____________
I hereby request payment for all months of the fiscal year that my State meets the Unemployment or Food Stamp Trigger.
- Option 2 _____________
I hereby request payment just for the months indicated below.
October: _____________ November: _____________ December: _____________
January: _____________ February: _____________ March: _____________
April: _____________ May: _____________ June: _____________
July: _____________ August: _____________ September: _____________
In requesting the above-indicated Federal TANF Contingency payments, I certify the following:
- The State will meet our 100 percent Contingency Fund maintenance-of-effort (MOE) spending requirement.
- State matching funds are available to spend in excess of our required Contingency Fund MOE spending level.
- State funds and Federal Contingency funds will be used only for allowable expenditures under the TANF program.
- I understand that the Federal TANF contingency funds are provisional payments. Accordingly, upon completion of the annual reconciliation process, the State will remit the amount (if any) determined as a result of this process, within one year after the State has failed to meet either the Food Stamp trigger or the Unemployment Trigger for three consecutive months.
Date: ________________________ Signature of Governor or legal Designee ________________________
Last Reviewed: October 29, 2015