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MISSISSIPPI [GENERAL: THE CASE RECORD]
Volume III | Chapter 1
1405
Resource Verification (if necessary) and Income Verification, including Work Number Information Child Care Expense Verification Immunization Records MDHS-EA-336-TWP Substance Abuse Treatment Agreement MDHS-EA-918 Representative Authorization Medical Review MDHS-EA-330A- Request for Medical Exam MDHS-EA-331 Report of Medical Exam MDHS-EA-332 Report of Social Information MDHS-EA-334 Medical Review Decision Personal Data Folder Birth Certificate Social Security Cards Marriage License Child Support Orders Divorce Decree Drug Felony Documentation MDHS-EA-301C-Verification of Age and Relationship (obsolete as of 12-01-10) Case Review MDHS-EA-173-Case Review Guide (2nd or 3rd party) MDHS-EA-173T-Case Target Review Guide Client Inquiry Documents TANF Fair Hearing Hearing request and other supporting documents related to the hearing request that have not been previously scanned and are not available in MAVERICS. Combination Cases Cases which include a combination of TANF and SNAP benefits will be electronically converted by scanning case documents into a Generic file folder. File folders will be identified as follows: