General Relief Policy - Department of Public Social Services

armed forces of the United States; widow or
spouse, former spouse (unless the marriage
was terminated by divorce), child, parent, or
person who has acted as a parent.
• When the individual and/or dependent(s) were a
dependent of a serviceman or servicewoman
who has been reported missing or killed while in
active service.
GR 44-121.3 –
Responsibilities of
Veterans
What are the responsibilities of individuals with
possible eligibility for Veterans benefits?
The individual must:
• Sign the CA 5, Veterans’ Benefits Verification
and Referral (a LEADER generated form).
• If contacted by the Department of Military and
Veterans Affairs, cooperate in keeping
appointments and providing requested
information.
GR 44-121.4 – Referrals
for Veterans’ Benefits How are referrals for Veterans’ benefits
handled?
• The CA 5 FAX form is completed and forwarded
to the Deputy District Director for faxing to the
DMVA (Department of Military and Veterans
Affairs).
• Based on information contained in the received
CA 5 FAX form:
‣ A CA 5 is completed and mailed to the
DMVA and set up the FAC for 30 days.
Refer to Future Action Control – User
Initiated – Create for LEADER instructions
for setting the FAC.
‣ Ongoing eligibility is determined based
on any income received.
‣ When item 11 is checked, the “Special
Notice to Veterans and/or their
Dependents”, section is completed,
requiring the individual to contact the
DMVA for an appointment. If the