COVID 19 Disaster Recovery & Response: One-Time Transition Back to Work Payment

Household
Size
Maximum
Monthly Income
1 $2127
2 $2874
3 $3620
4 $4367
5 $5114
6 $5860
7 $6607
8 $7354
9 $8100
10 $8847

The verification checklist below is what is required to make sure your application is complete and verified. Missing or choosing to skip items below can cause unnecessary delays or denial of your case. All applications are processed in date order. A notice of approval or denial is mailed to every applicant upon completion. One application is needed for each adult requesting Transition to Work Payment.
THE ITEMS LISTED BELOW MUST BE VERIFIED AND A FOLLOW-UP PHONE INTERVIEW WILL BE DONE TO COLLECT THAT INFORMATION WITH YOUR APPLICATION:

  • INCOME – Last 30 days earned and unearned income prior to the application date for each family member over 18 years old. See the table below to verify your gross earned/unearned monthly income is under 200% of the Federal Poverty Level.
  • CITIZENSHIP, SOCIAL SECURITY CARDS, RESIDENCY, AND ID FOR EACH FAMILY MEMBER
    – US Citizenship for each member of the household
    – Identity for each individual in the home
    – Residency and that each person listed on the application is currently living in the home and at the address listed on the application
  • COVID 19 DISASTER & RECOVERY RESPONSE APPLICATION – Completed and submitted to the Ottawa County Department of Job and Family Services (click here to download or see below)
  • RE-EMPLOYMENT – Verification of re-employment
  • IRS FORM W-9 – Verification of current social security number and mailing address (Click here to download)
  • TELEPHONE INTERVIEW – Agency staff will contact the applicant by phone to complete a review of the application and gather any additional verifications.

If you have a Public Assistance case on record with our agency, the income information in that case may be older than the past 30 days and not able to be used for this application. Do not assume your caseworker is able to verify your information for the PRC application.

Any questions on how to complete an application? Call (800) 665-1677 and ask for the Income Maintenance Backup worker of the day. The application can be scanned and emailed to info@ottawacountyjfs.org or faxed to (419) 898-2436.

 
Not required if same as Physical address
Applicant should be listed first
Sign and Date
COVID 19 Disaster Recovery & Response: One-Time Transition Back to Work Payment