Monthly Eligibility Report (MER)
Required for ALL cases Including Child Only
- Complete, sign and return this report by the due date. Cash grants cannot be processed without this form.
- Answer for everyone in the family unit receiving services. For child only cases in which the biological parent is receiving a form of Social Security benefits are required to disclose all income received for self and child.
- Report any and all changes within five business days that may affect eligibility and amount of the cash grant. Complete a Change of Circumstance form to report changes at any time throughout the month. Failure to do so may result in fraud and the fraud section of the manual will apply.
- Changes reported may result in services provided to include: the increase or decrease of the cash grant, removal from the family unit, or case closure.
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