Get W137a Form - Fill Out And Sign Printable Pdf Template ...

The W137A Form is designed for individuals seeking emergency assistance, additional allowances, or to add a person to their cash assistance case. This guide provides clear, step-by-step instructions to help you navigate the form efficiently and accurately.

Follow the steps to fill out the W137A Form online.

1. Click 'Get Form' button to access the W137A Form and open it in your preferred online editor.
2. Begin by entering the date at the top of the form, followed by the case name, case number, caseload, center, your worker's telephone number, and the Family Health and Childcare (FH&C) telephone number.
3. In Section I, indicate the type of emergency assistance you are requesting and provide a clear explanation of the reason you need this assistance.
4. Turn the page to Section II and list the additional allowances you are requesting. This may include back rent, essential household repairs, or other specific needs. Be sure to fill in any related details.
5. Continue by providing your new address, including city, state, and zip code, along with any details related to your moving expenses if applicable.
6. In Section III, specify any supportive services you are requesting related to work activities. This may include clothing allowances or necessary public transportation.
7. Finally, in Section IV, indicate any person(s) you wish to add to your cash assistance case and provide their details, including name, date of birth, and residency information.
8. Once you have filled out all sections, review your form for accuracy. After ensuring all information is correct, you can save your changes, download a copy, print the form, or share it as needed.

Start filling out the W137A Form online today to access the assistance you need.