Upload required documents for Child Care Payment Assistance, Families First/TANF or SNAP using this online tool. You can apply online for Tennessee Food Stamp program. hs-3134 SSBG Risk Factor Matrix (APS Assessment) - instructions Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records - (Spanish) All County Office Lobbies are closed to public due to Covid-19. Visit Case Connect Website. If you cannot verify an enrollee's eligibility via this online system, you should contact the enrollee's TennCare MCO. It outlines some of the requirements child care providers must meet in order to be licensed. myCOMPASS PA is a mobile app for people living in Pennsylvania who have applied for or receive state benefits. HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Spanish) (HS-2939sp) - Instructions Child Care Fingerprint Applicant Information & Criminal/Juvenile History Disclosure Form Family Assistance Fax Cover Sheet (Arabic) (HS-3457a) - Instructions Non-custodial parents (and employers) can use this secure online portal to submit child support payments with a credit card or an e-wallet account. You may also contact TennCare Provider Services at 1-800-852-2683 (toll free) or (615) 741-6669 (Nashville, TN local) hs-3476 SSBG SSBG Social Assessment and Service Plan - instructions Tennessee Department of Human Services Statement of Understanding - Program Rules (Application Addendum) Important - Keep This Paper! Anyone who has reasonable cause to suspect an adult has, without consent, suffered abuse, neglect, or exploitation can report such an incident online. If you do not already have a DHS account, please create one. What is a DHS account? Residency Questionnaire for Families Experiencing Homelessness (Arabic) (HS-3351a) - Instructions Please use this portal to upload documents requested by your County Worker. For more information on this assistance, visit https://www.tn.gov/humanservices/covid-19/child-care-services-and-covid-19.html. must be a TN.gov Subscriber. Change Report (Somali) HS-2302s) - Instructions, Families First Program Waiver of Hearing and Disqualification Consent Agreement (HS-3113) - Instructions Transmittal Authorization Form (Open with Chrome or Internet Explorer) Instructions Monthly Racial and Ethnic Data, Home TN-ELDS Documentation Form Or complete the application below and then fax it, mail it, or bring it to your local TDHS office. The .gov means it’s official. To login to Case Connect, visit the Department of Human Services Website by clicking here. New Users. Welcome to the Documents Management! Once all fields are complete, select the Submit button at the bottom of the following form: Withdrawal of Civil Rights Complaint (Arabic) SNAP & TANF DOCUMENT UPLOAD. Summer Food Service Program Income Excess Funds, Career Counseling and Information and Referral Services Verification (HS-3289) - Instructions Sorry! Access Management. Go to TN.gov. Go to TN.gov. Arabic Application and Addendum (HS-0169) - Arabic Instructions - Arabic Addendum-instructions Somali Application and Addendum (HS-0169) - Somali Instructions - Somali Addendum-instructions, Verification Checklist (HS-2772) - Instructions Our duties are wide-ranging, but our goal is clear: keeping America safe. Check the status of an appeal application. hs-3480 SSBG Missed Appointment Log - instructions Email: FSD.Documents@dss.mo.gov; Mail: Family Support Division, 3101 Chouteau Ave., St. Louis MO 63103; Fax: 573-526-9400 Withdrawal of Civil Rights Complaint (Somali) HIPAA Authorization for Release of Medical/Health Information (Spanish) (HS-2557sp) - Instructions Family Assistance Fax Cover Sheet (Somali) (HS-3457s) - Instructions, APS Confidentiality and Nondisclosure Agreement Letter The Department of Homeland Security has a vital mission: to secure the nation from the many threats we face. HIPAA Authorization for Release of Medical/Health Information (Large Print) (HS-2557LP) - Instructions Child Support Application Spanish Civil Rights Complaint Appeal Appeal From Finding Local, state, and federal government websites often end in .gov. DHS Online Services COMPASS. Apply in Person You can also apply for the Tennessee Food Stamp by visiting your local department of Human Services. HIPAA Authorization for Release of Medical/Health Information (Arabic) (HS-2557a) - Instructions Criminal Background Check Transfer (HS-3299) - Instructions hs-SSBG Monthly Services Report Form - instructions With a DHS account users can apply for, review and manage information for multiple DHS services such as Child Support, Families First, and Supplemental Nutrition Assistance Programs (SNAP). General Authorization For Release Of Information To The Tennessee Department Of Human Services Click here to apply for one or both programs. Go to Log In. Creating a Tennessee Department of Human Services (DHS) account is a great first step for managing case(s). Verification Checklist in Spanish (HS-2771sp) - Instructions, Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) - Instructions hs-3460 SSBG Corrective Action Plan - instructions hs-3463 SSBG Budget Revision Form - instructions  Learn how to subscribe. Creating a Tennessee Department of Human Services (DHS) account is a great first step for managing case(s). This call is free. The Minnesota Department of Human Services (“Department”) supports the use of “People First” language. General Authorization for Release of Information to the TDHS to a 3rd Party - (Spanish) Request for Removal from Abuse Registry 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 English / Spanish / Arabic / Somali, Consolidated Appeal Request (HS-3058) - Instructions If you have an application pending with the Tennessee Department of Human Services (DHS) for family assistance and would like to check the status or have been approved for benefits like SNAP Food Stamps and would like to review information on your case, then you’ve come to the right place. File Upload Human Services. Parents and caregivers can learn about services offered by child care providers in their area using distance, provider name, rating, or age restrictions search functions. Withdrawal of Civil Rights Complaint Department of Human Services Human Services. 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 With a DHS account users can apply for, review and manage information for multiple DHS services such as Child Support, Families First, and Supplemental Nutrition Assistance Programs (SNAP). At Tennessee’s Department of Human Service (DHS) our mission is to build strong families by connecting Tennesseans to employment, education and support services. 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, https://www.tn.gov/humanservices/covid-19/child-care-services-and-covid-19.html. This requires the dedication of more than 230,000 employees in jobs that range from aviation and border security to emergency response, from cybersecurity analyst to chemical facility inspector. Consolidated Appeal Request in Spanish (HS-3058SP) -  Spanish Instructions, Withdrawal of Appeal for Fair Hearing (HS-2908)  -  Form Instructions, Adult Day Care Criminal/Juvenile History & State Registry Review Disclosure (HS-2680) - Instructions Personal Safety Curriculum Notification for Drop-in Centers (Spanish) (HS-2994SP) - Instructions, HS-3069 Claim for Reimbursement Child and Adult Care Food Program Click OK to exit the session or Cancel to upload more documents or Confirmation to view the … Affidavit Request for SNAP replacement Due to Power Outage (HS-3003) Spanish Instructions hs-3489 SSBG Refusal Of Service - instructions, HS-3071 Claim for Reimbursement  If detailed account updates are needed (such as an address update), using the online DHS account portal is recommended. State of Georgia government websites and email systems use “georgia.gov” or … Personal Safety Curriculum Notification for Drop-in Centers (HS-2994) - Instructions Appeal From Finding (Spanish) The case number is nine (9) digits, while the card number is sixteen (16) digits. Appeal From Finding (Somali), Infant Meal Menu/Meal Count Record for 0 through 6 months (HS-3295) - Instructions Welcome back. Any custodial parent, non-custodial parent or caretaker of a child who needs the services offered by the Child Support Program, regardless of income, can apply online. Welcome to Appeal Online. To use this online application, you must enable javascript! Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) Spanish - Instructions, Change Report (English) (HS-2302) - Instructions Under Tennessee law, citizens have a duty to report abuse, neglect or exploitation of other persons. CASE NUMBER? This article is about how to login to the TN DHS Case Connect Website. Individuals requesting replacement benefits need to sign an affidavit and send it to DHS using the File Upload tool, available here: https://fileupload.dhs.tn.gov/. TN Case Connect Login. Non-Discrimination Statement-English Declaración de No Discriminación-Español بيان عدم التمييز-العربية Qoraalka Takoor La'aanta-Somali. Complaint Under Civil Rights Act of 1964 (Arabic) Once you get to the page, click on “”Go to Login” under “Returning Users” as shown below: If you do not have an account, then you need to create one. We are available online and by phone. EA Document Upload; Home mdhsadmin 2021-01-06T17:10:33+00:00 Looking for help in your community? Complaint Under Civil Rights Act of 1964 (Spanish) Infant Meal Menu/Meal Count Record for 6 through 11 months (HS-3296) - Instructions Can not verify an enrollee 's TennCare MCO also apply for one or both programs already have DHS... It, mail it, mail it, or bring it to your DHS account TN.gov Subscriber can and... 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