Application for Family, Minor Parent, Pregnancy, Child Only Case with Biological Parent
The program provides assistance to families with children and eligible adults and youth with job preparation, work experience, educational opportunities, and support services. The program is intended to assist families in becoming economically self- sufficient and not dependent upon the program for assistance. Additionally, the program is intended to provide assistance and supportive services for youth residing with non-needy caretaker/relatives.
Eligibility Criteria
- Living within the boundaries of the Quinault Indian Reservation, there must be an enrolled member of a federally recognized tribe in the family unit. Living outside the boundaries of the Quinault Indian Reservation, but in Grays Harbor County or lower Jefferson County, there must be an enrolled member of the Quinault Indian Nation in the family unit.
- Total income must not exceed the monthly income limitations based on the size of the family unit.
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 |
Submit the following documents in order for your application to be considered complete:
- Certificate of Indian Blood (CIB)
- Last 30 days of income
- Social Security Cards – Must be provided within 30 days. Program can assist in ordering if unable to provide.
- Certified Birth Certificate – 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)
- Proof of pregnancy – Required for a pregnancy case.
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.