Public Assistance

The following instructions apply to the Public Assistance section of the Demographics Information. For this page, the type of field is identified, as well as the description for each field.

1. Supplemental Security Income (SSI): Drop-down; Select Yes or No.
2. Currently a Ticket to Work ticket holder: Drop-down; Select Yes or No.
3. TANF Recipient: Drop-down; Select Yes or No.
4. Number of Months on TANF/AFDC Cash Assistance: Text box; Enter whole number for number of months receiving TANF/AFDC cash assistance.
5. State or Local Welfare (General Assistance): Drop-down; Select Yes or No.
6. Food Stamps: Drop-down; Select Yes or No.
7. Subsidized Housing: Drop-down; Select Yes or No.
8. Are you currently receiving Refugee Cash Assistance (CRA): Drop-down; Select Yes, No, or Not Reported.
9. Are you currently receiving Medicaid: Drop-down; Select Yes, No, or Not Reported.
10. Are you currently receiving Subsidized Child Care (Child Care Voucher): Drop-down; Select Yes, No, or Not Reported.
11. Are you currently receiving Low Income Home Energy Assistance Program (LIHEAP): Drop-down; Select Yes, No, or Not Reported.
12. Are you currently receiving Social Security Disability (SSD): Drop-down; Select Yes or No.
13. At any time in the past have you received Social Security Disability Insurance (SSDI): Drop-down; Select Yes or No.
14. Other Assistance (Please specify below): Drop-down; Select Yes or No.
15. Type of Other Assistance (if yes was selected for Other Assistance): Text; Enter other type of assistance.