Mass. Gen. Laws ch. 118 § 2B

Current through Chapter 231 of the 2024
Section 118:2B - Application form; contents

Every application for assistance made under this chapter shall be in writing on application forms prescribed by the commissioner and shall include but not be limited to the following; the name, age and residence of the applicant; the name, date and place of birth of each dependent; the social security number of the applicant, the spouse and all dependent children over sixteen years of age; a list of any motor vehicle or trailer owned by the applicant or dependent; wages, salaries, pensions, fees, tips, bonuses and all other sources of income of all such persons; said application form shall include a statement not inconsistent with federal regulations giving consent to the department to investigate all facts related to the applicant's eligibility for assistance.

The application form prescribed in paragraph one shall contain a statement that it is signed by the applicant under the penalties of perjury.

Mass. Gen. Laws ch. 118, § 2B