Caregiver Forms

Caregiver Subsidy Applications

Relative caregivers can now apply for a caregiver subsidy! The 6-month waiting period has been eliminated!  Begin your application here.

Grandparents
Close relatives

Custodial Power of Attorney

Parents can share physical and legal custody of a child with a trusted friend or relative by using this form.  No court involvement necessary and it can be revoked at any time. 

Custodial Power of Attorney

Standby Guardianship- Designation

Parents can designate a trusted friend or relative to care for their child if they are unable to do so due to death or incapacity from a chronic illness or COVID-19, or adverse immigration action (e.g., deportation).  No court involvement necessary until after the parent can no longer care for the child.

Standby Guardianship - Designation

Combined TANF/SNAP/Medicaid Application

Caregivers can apply for TANF, SNAP and/or Medicaid using this form.  You can also apply online at https://dcbenefits.dhs.dc.gov/ or download the DC Access Mobile App on your phone from  the Google Play or Apple app store.

Combined TANF/SNAP/Medicaid Application