General Assistance | Referral | Advocacy

General Assistance - Selected Resources

Maine State Revised Statutes Titles List

Links to Other Resources are now provided through the "Links" button to the left or by clicking here.

DHHS Maine General Assistance Policy Manual

Poverty Tax Abatement:

Application Form for Abatement of Local Property Tax

Notice of Decision

Family Stabilization Program
TANF Emergency Rule #89E – Creation of a limited temporary program called Family Housing Stabilization

2011-2012 Ordinance: [right click on link and "save target as"]

Ordinance & Appendices [pdf] OR  Ordinance & Appendices [Word]

2011-2012 Ordinance Maximums:

Kennebec County Corrections Memo 10/22/09

Maximums Memo  9/26/2011

Ordinance Maximums, 2011 - 2012

Appendix A,
Appendix B,
Appendix C,
Summary Sheets

Adoption of Ordinance Appendixes A - C [PDF]     Word Version

Instructions for Accessing the Pine Tree Card

HUD Fair Market Rents 2011 for Existing Housing

MAXIMUM ALLOWANCES  10/1/2008-10/1/2009 [Word]

Department of Human Services G.A. Policy Manual [Word] to State Site

DHHS/General Assistance Verification Form and Release of Information [ Word]

Sample General Assistance Notice, City of Portland [Word]

Sample Genral Assistance Rental Agreement Form, City of Portland

Sample Biddeford   Food & Personals & Supplies Guidelines [Word Version]

Sample Auburn Food & Personals & Supplies Guidelines [Word]

GA Application and Instructions - Non-interactive GA Application & Instructions to print and fill in.

GA - Application Updated from City of Biddeford  [Word Version]

Forms:

• State of Maine Substitute W-9 & Vendor Authorization Form
• Sample Biddeford Job Search / Employment Verification   [Word Version]
• Sample Auburn Job Search [Excel]
• Sample Auburn Training Schedule [Word]
• Sample Auburn Employer Form [Excel]
• Sample Biddeford   Landlord Verification of Rental Unit   Page One | Page Two   [Word Version]
• Sample Auburn Landlord Verification [Word]
• Sample Portland  Interpreter Services Form [Word]
• Sample Portland  Educational Program Verification Form (ESL) [Word]
• Sample Decision - Eligibility
• Sample Decision - Ineligibility
• Sample Auburn Decision [Excel]
• Sample Biddeford  Request for a Fair Hearing  [Word Version]
• Sample Request for Fair Hearing
• Sample Notice of Fair Hearing
• Sample Notice of Fair Hearing Decision
• Sample Workfare Agreement
• Sample Auburn Workfare Assignment [Excel]
• Sample Narrative Case Record

Confidentiality and Disclosure of Information Policy/Forms:

• Sample Biddeford Client Confidential Information Request [Word Version]
• Sample Biddeford Request For Confidential Employer Information
  [Word Version]
• Sample Biddeford  Release of Information   [Word Version]
• Sample Portland  Release of Information [Word Version]
• Sample Auburn Release of Financial Information [Excel]
• Sample Request for Confidential Information - General
• Sample Request for Confidential Information - Financial
• Sample Request for Confidential Information - Medical
• Revised Medical Release Form, City of Portland
• Sample Information Confidentiality Policy/Agreement
• Sample General Information Disclosure Form
  

Sample Burial or Cremation Services form, City of Portland

HUD Fair Market Rents 2010 for Existing Housing

"You are Entitled to a Free Interpreter" Poster  
[The City of Lewiston has generously made their poster, in 20 languages, available for use. Print, remove the top line, and use.]

Sample Application for Funeral Assistance & Family Financial Status Application

U.S. Department of Health and Human Services Food Stamps: Basis of Issuance (48 States and District of Columbia)