SFN 376, Fleeing Felon/Parole or Probation Violator Review 400-19-165-175

(Revised 11/1/19 ML #3562)

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This form is used to determine if an individual is disqualified from participation in the TANF program due to Fleeing Felon Review.

 

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms.

 

E-Forms are presented in Adobe Acrobat and require the Adobe Acrobat reader. If you do not currently have Adobe Acrobat reader installed, you may download a free copy by clicking the Get Adobe Reader icon below.