Massachusetts General Laws
Chapter 118 - Aid to Families With Dependent Children
Section 2b - Application Form; Contents

Section 2B. Every application for assistance made under this chapter shall be in writing on application forms prescribed by the commissioner and shall include but not be limited to the following; the name, age and residence of the applicant; the name, date and place of birth of each dependent; the social security number of the applicant, the spouse and all dependent children over sixteen years of age; a list of any motor vehicle or trailer owned by the applicant or dependent; wages, salaries, pensions, fees, tips, bonuses and all other sources of income of all such persons; said application form shall include a statement not inconsistent with federal regulations giving consent to the department to investigate all facts related to the applicant's eligibility for assistance.
The application form prescribed in paragraph one shall contain a statement that it is signed by the applicant under the penalties of perjury.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title XVII - Public Welfare

Chapter 118 - Aid to Families With Dependent Children

Section 1 - Definitions

Section 2 - Aid to Parents With Dependent Children

Section 2b - Application Form; Contents

Section 3 - Duties of Department

Section 3a - Access to Information by Department for Purpose of Locating, Establishing and Enforcing Liability of Persons Obligated to Pay Support

Section 3b - Employment Counseling and Job Training Program

Section 3c - Pathways to Self-Sufficiency Program

Section 4a - Aid to Dependent Children During Absence of Parents or Children From Commonwealth; Reciprocal Agreements

Section 4b - New Chardon Street Shelter; Continued Assistance for Eligible Families; Sliding Scale System of Fees

Section 5 - Reports of Department

Section 9 - Eligibility to Receive Veterans' Benefits; Option; Waiver

Section 10 - Exemption From Trustee Process; Assignment; False Statement or Fraud

Section 11 - Institutions Furnishing Care; Application for Aid; Payment

Section 12 - Temporary Absences From Commonwealth; Presumption of Abandonment of Residency and Eligibility for Assistance

Section 13 - Job Search Requirements for Non-Exempt Adult Applicants for Assistance; Submission of Proof of Initial Job Search and Weekly Reaffirmation

Section 14 - Benefit Period for Individuals Who Are Part of a 2 Parent Assistance Unit

Section 15 - Economic Independence Goals; Demonstration of Good Faith Attempt to Meet Goals as Condition of Additional Benefits or Extension

Section 16 - Economic Independence Accounts

Section 17 - Proof of Income and Assets for Unverified Applicants

Section 18 - Education or Training Activities for Purposes of Meeting Work Requirement

Section 19 - Eligibility of Pregnant Teens to Receive Cash or Other Assistance