Application for Child Only Case (Non-Needy Caretaker Relative)
Services are available for eligible families who have had children placed with them or for which they are otherwise acting as a caregiver. Cash grants are issued monthly to assist with the basic needs of the children in the family unit.
Eligibility Criteria
- Living within the boundaries of the Quinault Indian Reservation, there must be an enrolled member of a federallyrecognized tribe in the family unit. Living outside the boundaries of the Quinault Indian Reservation, but in GraysHarbor County or lower Jefferson County, there must be an enrolled member of the Quinault Indian Nation in thefamily unit.
- Total income for the children must not exceed the monthly income limitations based on the size of the family unit. Income limitations are listed below
Payment Standards and Income Limits:
| Family Unit Size | Payment Standard | Income Limit |
| 1 | $550 | $1,100 |
| 2 | $650 | $1,300 |
| 3 | $750 | $1,500 |
| 4 | $850 | $1,700 |
| 5 | $950 | $1,900 |
| 6 | $1,050 | $2,100 |
| 7 | $1,150 | $2,300 |
| 8 | $1,250 | $2,500 |
| 9 | $1,350 | $2,700 |
| 10 | $1,450 | $2,900 |
To avoid processing delays, submit the following documents:
- Certificate of Indian Blood (CIB)
- Social Security Card – Must be provided within 30 days. Program can assist in ordering if unable to provide.
- Certified Birth Certificates – Must be provided within 30 days. Program can assist in ordering if unable to provide.
- Proof of school enrollment and two weeks of consecutive attendance for each child aged 6 years and older. Proof is not required if applying when school is not in session. (Summer)
- Children’s Income (Social Security, child support)
- Placement papers from an agency, custody or guardianship documents, or Loco Parentis form
For all required documentation, please ask if you need assistance in acquiring or do not understand what it is that you must provide.
Applications may be submitted online below, or:
- in person
- by email to: tanf@quinalt.org
- by fax to: 360-537-1265
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
A letter of notification will be sent no later than two business days after an application is received, indicating the status as approved, denied, or pending. Applications may pend for 15 business days from the date of application and if not complete it will be denied.
Once approved, a monthly cash grant will be processed.