Creating a Tennessee Department of Human Services (DHS) account is a great first step for managing case(s). Apply for Families First and/or SNAP online, Tennessee Department of Human Services Application/Review of Eligibility For Families First, Supplemental Nutrition Assistance Program (SNAP):   hs-3463 SSBG Budget Revision Form - instructions  HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Arabic) (HS-2939a) - Instructions Personal Safety Curriculum Notification (HS-2984) - Instructions Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) Spanish - Instructions, Change Report (English) (HS-2302) - Instructions 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 Customers are encouraged to make payments and upload documents in the DCSS On the Go mobile app. 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). An employee at your local DHS office will contact you in regards to setting up your interview and what information/documents that should be brought with you. At Tennessee’s Department of Human Service (DHS) our mission is to build strong families by connecting Tennesseans to employment, education and support services. Child Care Fingerprint Applicant Information & Criminal/Juvenile History Disclosure Form Appeal From FInding (Arabic) If detailed account updates are needed (such as an address update), using the online DHS account portal is recommended. This call is free. HIPAA Authorization for Release of Medical/Health Information (Arabic) (HS-2557a) - Instructions FLSA Section 14c Subminimum Wage Employee Referral (HS-3287) - Instructions General Authorization for Release of Information to the TDHS to a 3rd Party - (Spanish) hs-3489 SSBG Refusal Of Service - instructions, HS-3071 Claim for Reimbursement  Tennessee Department of Human Services Statement of Understanding - Program Rules (Application Addendum) Important - Keep This Paper! Upload required documents for Child Care Payment Assistance, Families First/TANF or SNAP using this online tool. Application for Child Care Payment Assistance/ SMART STEPS  (Arabic) (HS-3408a) - 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. Learn how to subscribe. SNAP & TANF DOCUMENT UPLOAD. File Upload Human Services. DHS DocMgt Human Services. 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/. You may also write: Tennessee Department of Human Services. Withdrawal of Civil Rights Complaint (Arabic) Go to Log In. Please use this portal to upload documents requested by your County Worker. Personal Safety Curriculum Notification (Spanish) (HS-2984SP) - Instructions Sorry! To login to Case Connect, visit the Department of Human Services Website by clicking here. The Minnesota Department of Human Services (“Department”) supports the use of “People First” language. Family Assistance Fax Cover Sheet (Arabic) (HS-3457a) - Instructions Instructions Monthly Racial and Ethnic Data, Home TN-ELDS Documentation Form Client Complaint, Complaint Under Civil Rights Act of 1964 Change Report (Arabic) (HS-2302a) - Instructions Click above to apply. To start a new appeal request or to continue working on a saved appeal, you will need to login to your DHS Account. The Department of Human Services is legally responsible for licensing Residency Questionnaire for Families Experiencing Homelessness (Spanish) (HS-3351sp) - Instructions, Self Employment Reporting and Verification, Child Care Emergency Preparedness Plan Checklist and Template (HS-3275), Child Support Appeal Form Complaint Under Civil Rights Act of 1964 (Arabic) Returning Users. Somali Application and Addendum (HS-0169) - Somali Instructions - Somali Addendum-instructions, Verification Checklist (HS-2772) - Instructions Welcome back. The case number is located on your card beneath the card number. The terminology used to describe people with disabilities has changed over time. 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. Where can I find my case number? Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records - (Spanish) Affidavit Request for SNAP replacement Due to Power Outage (HS-3003) Spanish Instructions We are available online and by phone. You can apply online for Tennessee Food Stamp program. hs-SSBG Monthly Services Report Form - instructions Custodial parents (or caregivers) can also use the portal to review remittance advices and monthly statements. Public Release for Summer Food Service Program Open Sites (HS-3266) - Instructions Withdrawal of Civil Rights Complaint Local, state, and federal government websites often end in .gov. hs-3489 SSBG Refusal Of Service EA Document Upload; Home mdhsadmin 2021-01-06T17:10:33+00:00 Looking for help in your community? HS-3191 Monthly Racial and Ethnic Data Request for Removal from Abuse Registry Case Connect is a mobile-friendly desktop app that allows users to search for and review past and current Family Assistance applications and associated cases. Some forms are pre-printed and can be ordered through DHS … Application to Renew a License To Operate A Child Care Agency (Spanish) (HS-2012SP) - Instructions Creating a Tennessee Department of Human Services (DHS) account is a great first step for managing case(s). General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish), hs-3130 Abuse Reporting Log - instructions Family Assistance programs include Temporary Assistance for Needy Families (Families First/TANF), and the Supplemental Nutrition Assistance Programs (SNAP). must be a TN.gov Subscriber. Application to Renew a License To Operate A Child Care Agency (HS-2012) - Instructions hs-3109 SSBG Change in Circumstances - instructions ... You need your Tracking Number when calling the Department of Human Services regarding the document(s) uploaded. Child Support Online Application Tennessee Department of Human Services Office of General Counsel, Compliance Officer James K. Polk Building 505 Deaderick Street, 14th floor Nashville, TN 37243 or call (615) 313-4700. English / Spanish / Arabic / Somali Go to TN.gov. 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 The case number is nine (9) digits, while the card number is sixteen (16) digits. General Authorization For Release Of Information To The Tennessee Department Of Human Services General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish) PUBLIC RECORDS REQUESTS. With the app you can look up your benefits, review information, check the status of applications, upload documents, and … Under Tennessee law, citizens have a duty to report abuse, neglect or exploitation of other persons. Summer Food Service Program Income Excess Funds, Career Counseling and Information and Referral Services Verification (HS-3289) - Instructions Department of Human Services Human Services. Residency Questionnaire for Families Experiencing Homelessness (Arabic) (HS-3351a) - Instructions To use this online application, you must enable javascript! Pursuant to the orders issued by the Governor and the Secretary of Health, the physical office of the Department of Human Services is currently closed in an effort to prevent the spread of COVID-19. HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Spanish) (HS-2939sp) - Instructions Apply online to receive income-based financial assistance with child care payment costs. DHS service recipients can submit appeal requests for cases here online. The .gov means it’s official. Child Support Application Spanish 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. Visit Case Connect Website. Transmittal Authorization Form (Open with Chrome or Internet Explorer) Click here to apply for one or both programs. Infant Meal Menu/Meal Count Record for 6 through 11 months (HS-3296) - Instructions Vasco A. Smith, Jr. County Administration Building 160 N Main Street Memphis, TN 38103 Phone: 901-222-2300 Department of Human Services Maryville TN By Food Stamps TN Posted on May 11, 2017 Posted in DHS Office , Food Stamp Office , TN Case Connect , TN DHS With over 19% of total Tennessee residents currently receiving food stamps, it is important that food stamp recipients know where their local Department of Human Services (DHS) office is located. Application for Child Care Payment Assistance/ SMART STEPS (Somali) (HS-3408s) - Instructions, Residency Questionnaire for Families Experiencing Homelessness (HS-3351) - Instructions Email: FSD.Documents@dss.mo.gov; Mail: Family Support Division, 3101 Chouteau Ave., St. Louis MO 63103; Fax: 573-526-9400 If you are currently receiving Cash, SNAP (formerly Food Stamps) or Medical Benefits, you can report a change of address online.. Postal delays may affect the delivery time of documents and payments mailed to DCSS. 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 cannot verify an enrollee's eligibility via this online system, you should contact the enrollee's TennCare MCO. State of Georgia government websites and email systems use “georgia.gov” or … If you have questions about child care payment assistance, child care staff are located at these TDHS offices to help you. Criminal Background Check Transfer (HS-3299) - Instructions New Users. 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. hs-3475 SSBG Authorized Signatories - instructions Payment requires separate log-in credential from the DHS account. Change of Address. Family Assistance Fax Cover Sheet (Spanish) (HS-3457sp) - Instructions Public Records Policy. It outlines some of the requirements child care providers must meet in order to be licensed. Appeal From Finding Our duties are wide-ranging, but our goal is clear: keeping America safe. Once all fields are complete, select the Submit button at the bottom of the following form: HIPAA Authorization for Release of Medical/Health Information (Large Print) (HS-2557LP) - Instructions Residency Questionnaire for Families Experiencing Homelessness (Somali) (HS-3351s) - Instructions To Create a new account, ... 2021 - DHS Document Management - Version 1.0.0 TN.gov Services; TN.gov Directory; Transparent TN; Web Policies; About Tennessee; Title VI; Accessibility; Help & Contact; 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 Need to report a change? SOCIAL SERVICES BLOCK GRANT (SSBG) hs-3130 Abuse Reporting Log - instructions Check the status of an appeal application. hs-3134 SSBG Risk Factor Matrix (APS Assessment) - instructions Office Hours Monday to Friday, 8:15 am to 4:45 pm Connect With Us 64 New York Avenue, NE, 6th Floor, Washington, DC 20002 Phone: (202) 671-4200 Fax: (202) 671-4326 What can you do with a DHS account? Parents and caregivers can track and review processed child support payments using this secure online portal. Sample Professional Development Plan, Application for Child Care Payment Assistance/ SMART STEPS (HS-3408) - Instructions hs-3480 SSBG Missed Appointment Log - instructions Personal Safety Curriculum Notification for Drop-in Centers (HS-2994) - Instructions English / Spanish / Arabic / Somali, Consolidated Appeal Request (HS-3058) - Instructions Access Management. All County Office Lobbies are closed to public due to Covid-19. eDocs is the Department of Human Services’ repository of forms and documents. Civil Rights Complaint Appeal Welcome to Appeal Online. Appeal From Finding (Spanish) 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. TENNESSEE DEPARTMENT OF HUMAN SERVICES SUMMARY OF LICENSING REQUIREMENTS FOR CHILD CARE CENTERS This summary is a guide for parents of children in child care centers. Click here for local resources. Welcome to the Documents Management! Or complete the application below and then fax it, mail it, or bring it to your local TDHS office. hs-3131 SSBG Annual Program Evaluation - instructions What is a DHS account? Families First Program Waiver of Hearing and Disqualification Consent Agreement (Spanish) (HS-3113SP) - Spanish Instructions, Family Assistance Self-Employment Calendar - Instructions, Family Assistance Fax Cover Sheet (English) (HS-3457) - Instructions Click OK to exit the session or Cancel to upload more documents or Confirmation to view the … Complaint Under Civil Rights Act of 1964 (Somali) HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (HS-2939) - Instructions Need help? Complaint Under Civil Rights Act of 1964 (Spanish) An online tool that can be used to estimate child support payment amounts. DHS accounts allow you to enter, store and manage information that is needed for accessing DHS services. All you have to do is submit an online application. Verification Checklist in Spanish (HS-2771sp) - Instructions, Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) - Instructions Call us. hs-3117 Application for Social Services Block Grant (SSBG) Services - instructions CASE NUMBER? Child Support Application Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records After your application is received and viewed by DHS, you will be giving a time and date for interview. 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. hs-3115 SSBG Service Proposal - instructions HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Somali) (HS-2939s) - Instructions hs-3456 Specific Assistance Request - instructions Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) Instructions. Family Assistance Fax Cover Sheet (Somali) (HS-3457s) - Instructions, APS Confidentiality and Nondisclosure Agreement Letter Tennessee Department of Human Services is an equal opportunity provider. Application for Child Care Payment Assistance /SMART STEPS(Spanish)  (HS-3408sp) - Instructions The Department of Homeland Security has a vital mission: to secure the nation from the many threats we face. Complete all the required fields marked with an "*". HIPAA Authorization for Release of Medical/Health Information (Somali) (HS-2557s) - Instructions Arabic Application and Addendum (HS-0169) - Arabic Instructions - Arabic Addendum-instructions HIPAA Authorization for Release of Medical/Health Information (Spanish) (HS-2557sp) - Instructions Withdrawal of Civil Rights Complaint (Spanish) TN Case Connect Login. General Authorization For Release Of Information To The Tennessee Department Of Human Services Non-Discrimination Statement-English Declaración de No Discriminación-Español بيان عدم التمييز-العربية Qoraalka Takoor La'aanta-Somali. For more information on this assistance, visit https://www.tn.gov/humanservices/covid-19/child-care-services-and-covid-19.html. hs-3468 APS Confidentiality and Nondisclosure Agreement Letter, Civil Rights Complaint 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). English Application (HS-0169) - English Addendum -  English Instructions - English Instructions Addendum Create Account. ​HS-3083 Claim for Reimbursement Child and Adult Care Food Program (Homes Only) Have a question? The COVID-19 Pandemic/Essential Child Care Payment Assistance Program provides access to child care at no cost for Tennessee workers who are providing essential businesses and services. hs-3470 Specific Assistance to Individuals Only - instructions Personal Safety Curriculum Notification for Drop-in Centers (Spanish) (HS-2994SP) - Instructions, HS-3069 Claim for Reimbursement Child and Adult Care Food Program hs-3460 SSBG Corrective Action Plan - instructions Go to TN.gov. Spanish Application (HS-0169) - Spanish Addendum - Spanish Instructions - Spanish Instructions Addendum hs-3465 SSBG Invoice for Reimbursement - instructions Office of General Counsel, Compliance Officer Appeal From Finding (Somali), Infant Meal Menu/Meal Count Record for 0 through 6 months (HS-3295) - Instructions Change Report (Somali) HS-2302s) - Instructions, Families First Program Waiver of Hearing and Disqualification Consent Agreement (HS-3113) - Instructions Although outmoded and offensive terms might be found within documents on the Department’s website, the Department does not endorse these terms. This article is about how to login to the TN DHS Case Connect Website. myCOMPASS PA is a mobile app for people living in Pennsylvania who have applied for or receive state benefits. As we face COVID-19 together, DHS has adjusted our operations to help keep our customers and community healthier by reducing practices that make it easy to spread COVID-19. SNAP & TANF DOCUMENT UPLOAD. The Department of Human Services says you should still submit your documents as soon as possible. A TN.GOV Service. Family Assistance Service Center - 1-866-311-4287 We are here to help you from 7:00 a.m. to 5:00 p.m. Monday through Friday. Change Report (Spanish) (HS-2302sp) - Instructions Apply in Person You can also apply for the Tennessee Food Stamp by visiting your local department of Human Services. DHS Online Services COMPASS. hs-3116 SSBG Social Assesment and Service Plan - instructions  To Create a new account, please click on the following link: Create DHS Account. Withdrawal of Civil Rights Complaint (Somali) You may also contact TennCare Provider Services at 1-800-852-2683 (toll free) or (615) 741-6669 (Nashville, TN local) Pre-Employment Transitions Services Permission (HS-3288) - Instructions, 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, Arabic Application and Addendum (HS-0169), Somali Application and Addendum (HS-0169), Verification Checklist in Spanish (HS-2771sp), Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003), Affidavit Request for SNAP Replacement Due to Power Outage (HS-3003) Spanish, Families First Program Waiver of Hearing and Disqualification Consent Agreement (HS-3113), Families First Program Waiver of Hearing and Disqualification Consent Agreement (Spanish) (HS-3113SP), Family Assistance Self-Employment Calendar, Family Assistance Fax Cover Sheet (English) (HS-3457), Family Assistance Fax Cover Sheet (Spanish) (HS-3457sp), Family Assistance Fax Cover Sheet (Arabic) (HS-3457a), Family Assistance Fax Cover Sheet (Somali) (HS-3457s), APS Confidentiality and Nondisclosure Agreement Letter, hs-3468 APS Confidentiality and Nondisclosure Agreement Letter, Consolidated Appeal Request in Spanish (HS-3058SP), Withdrawal of Appeal for Fair Hearing (HS-2908), Adult Day Care Criminal/Juvenile History & State Registry Review Disclosure (HS-2680), Application to Renew a License To Operate A Child Care Agency (HS-2012), Application to Renew a License To Operate A Child Care Agency (Spanish) (HS-2012SP), Criminal Background Check Transfer (HS-3299), Personal Safety Curriculum Notification (HS-2984), Personal Safety Curriculum Notification (Spanish) (HS-2984SP), Personal Safety Curriculum Notification for Drop-in Centers (HS-2994), Personal Safety Curriculum Notification for Drop-in Centers (Spanish) (HS-2994SP), HS-3069 Claim for Reimbursement Child and Adult Care Food Program, HS-3083 Claim for Reimbursement Child and Adult Care Food Program (Homes Only), Instructions Monthly Racial and Ethnic Data, Child Care Fingerprint Applicant Information & Criminal/Juvenile History Disclosure Form, Application for Child Care Payment Assistance/ SMART STEPS (HS-3408), Application for Child Care Payment Assistance /SMART STEPS(Spanish)  (HS-3408sp), Application for Child Care Payment Assistance/ SMART STEPS  (Arabic) (HS-3408a), Application for Child Care Payment Assistance/ SMART STEPS (Somali) (HS-3408s), Residency Questionnaire for Families Experiencing Homelessness (HS-3351), Residency Questionnaire for Families Experiencing Homelessness (Arabic) (HS-3351a), Residency Questionnaire for Families Experiencing Homelessness (Somali) (HS-3351s), Residency Questionnaire for Families Experiencing Homelessness (Spanish) (HS-3351sp), Complaint Under Civil Rights Act of 1964 (Arabic), Complaint Under Civil Rights Act of 1964 (Somali), Complaint Under Civil Rights Act of 1964 (Spanish), Withdrawal of Civil Rights Complaint (Arabic), Withdrawal of Civil Rights Complaint (Somali), Withdrawal of Civil Rights Complaint (Spanish), Infant Meal Menu/Meal Count Record for 0 through 6 months (HS-3295), Infant Meal Menu/Meal Count Record for 6 through 11 months (HS-3296), Public Release for Summer Food Service Program Open Sites (HS-3266), Summer Food Service Program (SFSP) and Child and Adult Care Food Program (CACFP) Bond Waiver Request (HS-3267), HIPAA Authorization for Release of Medical/Health Information (HS-2557), HIPAA Authorization for Release of Medical/Health Information (Arabic) (HS-2557a), HIPAA Authorization for Release of Medical/Health Information (Somali) (HS-2557s), HIPAA Authorization for Release of Medical/Health Information (Spanish) (HS-2557sp), HIPAA Authorization for Release of Medical/Health Information (Large Print) (HS-2557LP), HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (HS-2939), HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Arabic) (HS-2939a), HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Somali) (HS-2939s), HIPAA Authorization for Release of Medical/Health Information to a 3rd Party (Spanish) (HS-2939sp), Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records, Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records - (Spanish), General Authorization for Release of Information to the TDHS to a 3rd Party, General Authorization for Release of Information to the TDHS to a 3rd Party - (Spanish), General Authorization For Release Of Information To The Tennessee Department Of Human Services, General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish), hs-3116 SSBG Social Assesment and Service Plan, hs-3117 Application for Social Services Block Grant (SSBG) Services, hs-3134 SSBG Risk Factor Matrix (APS Assessment), hs-3470 Specific Assistance to Individuals Only, hs-3476 SSBG SSBG Social Assessment and Service Plan, hs-3489 SSBG Refusal Of Service - instructions, Summer Food Service Program Income Excess Funds, Career Counseling and Information and Referral Services Verification (HS-3289), FLSA Section 14c Subminimum Wage Employee Referral (HS-3287), Pre-Employment Transitions Services Permission (HS-3288). Due to the COVID-19 pandemic, E-Verify and Form I-9 have created some temporary policies to help employers. If you have any additional questions regarding how to apply for food stamps in Tennessee be sure to check out our previous post that outlines the process step-by-step. General Authorization for Release of Information to the TDHS to a 3rd Party 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. If you do not already have a DHS account, please create one. hs-3476 SSBG SSBG Social Assessment and Service Plan - instructions ... Click on this link for more information about printing, saving and troubleshooting PDF documents on the DHS website. Monday through Friday and Form I-9 have created some temporary policies to help from. 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