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Individuals currently receiving temporary assistance through the U.S. Repatriation Program, who are unable to attain self-support or self-care due to age, disability, or lack of vocational preparation, may use this form to request an extension for the eligibility period beyond the initial 90-day period per 45 CFR 212.4
This form is for the repatriate to accept temporary assistance under the U.S. Repatriation Program, agree to repay HHS for temporary assistance, and allow HHS to share personal information for benefits purposes
This form is to request pre-approval for costs or federal support for an emergency repatriation incident. The state must submit this form before incurring costs for an emergency repatriation operation or an exercise
Provides important information about the U.S. Repatriation Program, which provides Temporary Assistance (such as cash assistance, temporary shelter) to eligible individuals
Individuals who received temporary assistance through the U.S. Repatriation Program should use this form to request a loan waiver or deferral of payment
The purpose of this form is for state and local service providers to submit reimbursement requests for providing temporary assistance to repatriates under the U.S. Repatriation Program
This form is for U.S. citizens and their dependents to request temporary assistance from the U.S. Repatriation Program during an emergency repatriation incident
For state agencies and OHSEPR- authorized support agencies to request reimbursement for reasonable, allowable, and allocable costs incurred as a result of (1) OHSEPR activation of the State Emergency Repatriation Plan (SERP); (2) agreement with OHSEPR to support an emergency repatriation operation; or (3) an OHSEPR-approved planning, training, or exercise activity in support of the U.S. Repatriation Program