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Arji Soomaali -  Tilmaamaha Soomaali - Tilmaamaha Wax lagu daray Soomaali. Apply or recertify for cash, food, and medicial benefits available in the District. To apply for benefits, submit your application online or visit the local DHS county office. After the recorded message, you will reach an operator who can provide you with an interpreter. Complaint Under Civil Rights Act of 1964 (Spanish) With the app you can look up your benefits, review information, check the status of applications, upload documents, and report changes. Supplemental Nutrition Assistance Program (SNAP), Deaf, Deaf-Blind and Hard of Hearing Services, Community Tennessee Rehabilitation Centers, Family Assistance Live Chat, Direct Email, Child Care Payment Assistance Online Application, Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003), Affidavit Request for SNAP replacement Due to Power Outage (HS-3003). Lost food due to a power outage of 12 hours or more. Application to Renew a License To Operate A Child Care Agency (HS-2012) - Instructions Summer Food Service Program Income Excess Funds, Career Counseling and Information and Referral Services Verification (HS-3289) - Instructions English Application (HS-0169) - English Addendum -  English Instructions - English Instructions Addendum English / Spanish / Arabic / Somali Screening Small assessment to find out if you are eligible for food benefits or SoonerCare(Medicaid). Personal Safety Curriculum Notification (Spanish) (HS-2984SP) - Instructions General Authorization For Release Of Information To The Tennessee Department Of Human Services Develop a skilled workforce that meets the needs of Pennsylvania's business community, Provide universal access to high-quality early childhood education, Provide high-quality supports and protections to vulnerable Pennsylvanians. Tennessee Department of Human Services Application/Review of Eligibility For Families First, Supplemental Nutrition Assistance Program (SNAP): English Application (HS-0169) - English Addendum - English Instructions - English Instructions Addendum Arabic Application and Addendum (HS-0169) - Arabic Instructions - Arabic Addendum-instructions Withdrawal of Civil Rights Complaint (Spanish) Proudly founded in 1681 as a place of tolerance and freedom. 615-743-2000 (Nashville area) Change Report (Somali) HS-2302s) - Instructions, Families First Program Waiver of Hearing and Disqualification Consent Agreement (HS-3113) - Instructions Child Support Application Spanish Applicants are notified by mail (within 45 days of the application date  for Families First and 30 days of the application date for SNAP) of the eligibility decision. Arriving alone to drop-off or pick-up documents or take part in scheduled in-person appointments. Residency Questionnaire for Families Experiencing Homelessness (Spanish) (HS-3351sp) - Instructions, Self Employment Reporting and Verification, Child Support Appeal Form Apply In Person. PLEASE NOTE: Due to COVID-19 precautions regarding social distancing, DHS office lobbies are available only to customers by appointment. General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish), Abuse Reporting Log   If you need assistance filing out the Online Application, please call 1-855-626-2050. Civil Rights Complaint Appeal Appeal From Finding HIPAA Authorization for Release of Medical/Health Information (Arabic) (HS-2557a) - Instructions Welcome to the Family Assistance Online Application! General Authorization for Release of Information to the TDHS to a 3rd Party hs-3131 SSBG Annual Program Evaluation - instructions hs-3115 SSBG Service Proposal - instructions Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) Instructions, Affidavit Request for SNAP replacement Due to Power Outage (HS-3003) Spanish Instructions. Summer Food Service Program (SFSP) and Child and Adult Care Food Program (CACFP) Bond Waiver Request (HS-3267) - Instructions, COMMUNITY SERVICES BLOCK GRANT APPLICATION, HIPAA Authorization for Release of Medical/Health Information (HS-2557) - Instructions Request for Removal from Abuse Registry Submit your application online or print and sign the application and fax, mail, or bring it to a DHS county office for us to process. Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records - (Spanish) To Create a new account, please click on the following link: Create DHS Account. With the app you can look up your benefits, review information, check the status of applications, upload documents, and report changes. Maintaining a distance of 6 feet from others. Spanish Application (HS-0169) - Spanish Addendum - Spanish Instructions - Spanish Instructions Addendum hs-3109 SSBG Change in Circumstances - instructions You may be asked to provide more information during your interview. Keystone State. HIPAA Authorization for Release of Medical/Health Information (Spanish) (HS-2557sp) - Instructions Answering COVID-19 health screening questions and passing a temperature check. DHS Online Services COMPASS. hs-3117 Application for Social Services Block Grant (SSBG) Services - instructions Replacement SNAP benefits will be authorized for the value of the loss only and can’t exceed the current month’s allotment. Transmittal Authorization Form (Open with Chrome or Internet Explorer) General Authorization for Release of Information to the TDHS to a 3rd Party - (Spanish) Complaint Under Civil Rights Act of 1964 (Somali) FA Online Human Services. Customers filing initial applications and recertifications are not required to visit an office provided their identity has been verified and all other mandatory verifications have been completed. – (If applying for SNAP only, an incomplete application can be accepted as long as it contains your name, address, and signature). Verification Checklist in Spanish (HS-2771) - Instructions, Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) - Instructions Sample Professional Development Plan, Application for Child Care Payment Assistance/ SMART STEPS (HS-3408) - Instructions Complaint Under Civil Rights Act of 1964 (Arabic) HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (HS-2939) - Instructions hs-3476 SSBG SSBG Social Assessment and Service Plan - instructions myCOMPASS PA is a mobile app for people living in Pennsylvania who have applied for or receive state benefits. Center TN-ELDS Documentation Form, Summary of Licensing Requirements For Child Care Agencies English, Summary of Licensing Requirements For Child Care Agencies Spanish, Influenza Information Notification Form HIPAA Authorization for Release of Medical/Health Information (Somali) (HS-2557s) - Instructions DHS is implementing COVID-19 precautions for all visitors entering office lobbies across the state. Child Support Application Personal Safety Curriculum Notification (HS-2984) - Instructions Appeal From Finding (Spanish) Meet with someone in person to apply for programs: For health and human services programs, call or visit a local DHS Office ; open Monday through Friday from 8:30 am - 4:00 pm; extended hours of operation are available at the Providence and Woonsocket locations. In order to determine eligibility for the program, DHS caseworkers may ask for documentation like birth certificates, social security cards, check stubs, bank statements, utility bills, rent receipts, tax returns, and insurance policies. Current SNAP recipients can find information on their case with CaseConnect.

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