Downloading a Form to Your Computer

Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.

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Effective Date: 



Updated: 4/2014


To provide Temporary Assistance for Needy Families (TANF) clients a written explanation of the program activities and support services that are available, their rights and responsibilities, the reasons for exemption, and the penalties for noncompliance.


When to Prepare

At the TANF application interview, complete Form H2580 for each TANF Eligibility Determination Group (EDG).

After certification, provide Form H2580 to any caretaker or second parent who:

  • is added to the TANF EDG,
  • loses exempt status, or
  • is exempt.

Number of Copies and Transmittal

Give one Form H2580 to each TANF household.

Form Retention

There are no retention requirements for Form H2580.

Detailed Instructions

TANF EDG Name – Self-explanatory.

TANF EDG Number – Self-explanatory.