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Sub-recipient Agency Forms

(Click here for agency Quarterly/Trimester Report forms and instructions.)

Beginning February 29 2012 the following client forms must be used.  Click the name of the form to download each document in English.  The completed English version of the form is retained in client files and submitted to KOR when directed.

Translated versions of forms should be provided to the client when necessary.   Translations are provided by KOR to sub recipient agencies at the start of each year and can be downloaded here.

For a complete list of forms, their uses, and rules regarding when they must be completed and if they must be submitted to KOR, download the List of 2012 WF Forms.

KYWF-1 Intake and Referrals
KYWF-2 RCA Orientation
KYWF-3 RCA Enrollment and Eligilbity
KYWF-4 RCA Employment Exemption Determination
KYWF-5 RCA Secondary Migration Eligibility
KYWF-6 RCA Approval Letter
KYWF-7 RCA Months 3-8 Income Eligibility
KYWF-7S RCA Months 3-8 Spreadsheet for clients with some earned income
KYWF-8 Family Self-Sufficiency Plan
KYWF-9 RES Orientation
KYWF-10 RSS Enrollment and Eligibility
KYWF-11 Rights & Responsibilities
KYWF-12 Fair Hearing Procedure
KYWF-13 Intent to Reduce or Term Benefits & Case Closure
KYWF-14 Job Offer & Placement
KYWF-15 RCA Incentive Request-Job Acceptance
KYWF-16 RCA Incentive Request-Job Retention
KYWF-17 RCA Incentive Request-Reduced Job Retention
KYWF-18 Cash Assistance Summary Sheet
KYWF-19 240 Day Status Update
KYWF-30 RMA Enrollment and Eligilbity
KYWF-31 HCC Enrollment Form
KYWF-32 RMA Orientation
KYWF-33 HCC insurance letter
KYWF-34 Refugee Health Orientation Checklist
KYWF-35 Intro to the US Healthcare System
KYWF-36 Refugee Health Screening pamphlet
KYWF-37 Know Your Rights to an Interpreter
KYWF-38 RMA Reimbursement Request
KYWF-39 Refugee Health Screening 90 day follow up
KYWF-40 Refugee Health Screening 180 day follow up
HCC Benefits Grid and HCC Insurance Information
KYDISC-1 Discretionary Grant Enrollment and Eligibility
WF CMA Enhanced Case Management Application
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Service Times & Directions

Weekend Masses in English

Saturday Morning: 8:00 am

Saturday Vigil: 4:30 pm

Sunday: 7:30 am, 9:00 am, 10:45 am,
12:30 pm, 5:30 pm

Weekend Masses In Español

Saturday Vigil: 6:15pm

Sunday: 9:00am, 7:15pm

Weekday Morning Masses

Monday, Tuesday, Thursday & Friday: 8:30 am

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6654 Main Street
Wonderland, AK 45202
(513) 555-7856