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DHS-3043 - Earned Income Tax Credit Temporary Assistance for Needy Families (TANF). Earned Income Tax Credit TANF-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out your personal information in Section A, including your name, date of service, and case number if applicable.
- Answer Question 1 regarding your family situation. Indicate if you are pregnant or have a child under 18 living with you.
- In Question 2, check all programs your family currently receives, such as Medicaid or Food Assistance. If none apply, proceed to Question 3.
- For Question 3, circle your family size and indicate whether your monthly income is less than the specified amounts based on your family size.
- Review the information for accuracy and complete Section B by signing and dating the form.
- Finally, submit the form for eligibility determination by a contractor or MDHHS specialist in Section C.
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