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870 Chapter 5:Temporary Assistance for Domestic Violence Survivors (TA-DVS) Program • Section 2: Application (07/2026) Application Filing date For the TA-DVS Program, the filing date is the date when an agency-approved application is received, or verbal filing date is established, and includes the applicant’s name, address, and verbal signature captured in ONE. Note: An agency approved application for TA-DVS includes the (DHS 0415F) or completion of data collection in worker portal. To complete a verbal filing date, ODHS|OHA completes application registration making record of: • the applicant’s name, • address, • request for TA-DVS, • the date this occurred, • • and collecting the applicant’s recorded verbal signature. For more information on capturing a filing date in ONE, see the Establishing Date of Request/Filing Date QRG and the TA-DVS Handoff Process Eligibility Guide. Completing and signing the application A parent or caretaker relative for the dependent child(ren) must complete the application process and sign the application. There are no authorized representatives in the TA-DVS Program. Application process To complete an application, the parent or caretaker relative must answer all questions on the application, provide information necessary to determine eligibility, and provide a signature. This information can be provided on an ODHS|OHA-approved application, including verbally. Signature A signature can be provided on an ODHS|OHA-approved application as a hardcopy signature or using the call center software to collect a verbal signature. There are no electronic signatures allowed in the TA-DVS Program. Application time frames ODHS must assess the emergent safety concern within eight working hours of receiving the application, including case noting and addressing any immediate safety concerns identified. This must be done by offering to complete the TA-DVS Safety Screening (ODHS 7802). If the survivor indicates they do not want to complete the safety assessment, case notes the conversation. Eligibility must be determined within 16 working hours after receiving a filing date or completed signed application.