Please complete the entire form and attach supporting documentation, if required.
Incomplete requests or those that do not have the required documentation will not be staffed.
Please note that if you have received a Sanction Warning, are in Sanction or are not complying with program requirements your request may be denied.
Prefer to download a PDF of this form?
If you would prefer to download and either fill in digitally or print this form, it is available as a PDF:
Then submit by:
- email to TANF@quinault.org
- bringing to any of our offices either during normal business hours or leaving in one of the drop-boxes anytime
- by fax: 360-537-1265