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APPENDIX C2 - CASE RECORD ORGANIZATION This section illustrates the appropriate location of materials kept in the case record including the application, various forms, and verification materials. All documents dated within last three years must be maintained. Do not purge case records without supervisory authorization. TANF/Power Cases (Notices and Forms Should Be Filed Accordingly)

Section One  Preliminary Assessment  Photo ID Referral  Token Receipt Form  Voter Registration  EBT Referral Form Section Two  MEAE Printout  TANF Work Activity Referral  Medical/MRT Packet (856,854,1020)  Referral to RSA  Referral to APRA  FSET-1  495 Authorization for Investigation  Referral for Domestic Violence  1673A Third Party Liability  1673B Notice of Potential Medicaid Payment Recovery  Presumptive Eligibility Forms  Report of Non-compliance with TANF Requirements  FSET-3 Section Three  Generic Application/CAD Addendum  Food Stamp Expense Addendum  1052 Record of Case Action  1400 Notice to Applicant  Generic Recertification Form