Administrative Definitions, Forms for Client Notice and Contact  


  • RULE NO: RULE TITLE
    65A-1.203: Administrative Definitions
    65A-1.400: Forms for Client Notice and Contact
    NOTICE OF CHANGE
    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol.31,No.20, May 20, 2005 issue of the Florida Administrative Weekly.

    The specific changes were made in response to the settlement of Clark v Department of Children and Family Services on April 25, 2006, to update to the more current application forms as incorporated in Administrative Rule 65A-4.208.

    Administrative Rule 65A-1.203.

    Specific changes in rule text are as follows:

    (1) and (2) No change

    (3) Application: A specific paper or electronic/web-based request on a designated media, CF-ES 2337, ACCESS Florida Application, Apr 06 May 05, incorporated by reference in Administrative Rule 65A-4.208, or an ACCESS Florida Web Application, CF-ES Form 2353, Apr 06, incorporated in Administrative Rule 65A-4.208, available on the Department’s Internet sit at www.myflorida.com/accessflorida, which has been dated and signed by the applicant or authorized/designated representative that eligibility for public assistance be determined. The CF-ES 2353 is only accepted electronically. An application must include at least the individual’s name, address and signature to initiate the application process. Household members who are ineligible, or who are not applying for benefits, may be designated as non-applicants. A copy of the form may be obtained without cost from the ESS office that serves your area or by written request to Economic Self-Sufficiency Program Office, 1317 Winewood Boulevard, Building 3, Room 450, Tallahassee, Florida 32399-0700, or by using the department’s Internet site at www.myflorida.com/accessflorida.

    Administrative Rule 65A-1.400.

    Specific changes in rule text are as follows:

    The following forms are used for Public Assistance Programs to provide applicants and recipients with required notice of the agency's and client's rights and responsibilities and other necessary program information.  The forms are hereby incorporated by reference.

    (1) The application for assistance is a specific paper request on CF-ES Form 2337, ACCESS Florida Application, Apr 06 Aug 05, incorporated by reference in Administrative Rule 65A-4.208, or an ACCESS Florida Web Application, CF-ES Form 2353, Apr 06, incorporated in Administrative Rule 65A-4.208, available on the Department’s Internet sit at www.myflorida.com/accessflorida, which has been dated and signed by the applicant or authorized/designated representative that eligibility for public assistance be determined. The CF-ES 2353 is only accepted electronically.  An application must include at least the individual's name, address and signature to initiate the application process. Household members who are ineligible, or who are not applying for benefits, may be designated as non-applicants.

    (2) (1) No change.

    (a) and (b) No change.

    (c) CF-ES Form 2337 2066, Apr 06 May 05ACCESS Florida Application or Uniform Resource Locator (URL), www.myflorida.com/access florida

    (d) CF-ES Form 2353, Apr 06      ACCESS Florida Web Application

    (d) through (p) renumbered (e) through (q) No change.