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875 Chapter 5:Temporary Assistance for Domestic Violence Survivors (TA-DVS) Program • Section 2: Application (07/2026) A conversation about the information in the ODHS 1543M form is required, however a signature is not required but is preferred. If you are unable to get a signature, have the conversation with the survivor and case note the discussion that occurred. “You have been approved for TA-DVS. What happens now?” (ODHS 1540) The “You have been approved for TA-DVS. What happens now?” flyer (ODHS 1540) explains how individuals who have been approved for TA-DVS can access the funds, states what to expect during the process, outlines how to contact their worker and make payment requests, and offers examples of allowable and non-allowable payments through the program. This form is meant to help guide conversations and increase transparency with individuals accessing the benefit. It is not a replacement for having conversations with approved individuals. There is an available resource for individuals who find it helpful. Always allow individuals to determine whether it is safe to take or access materials. Oregon Administrative Rule(s) 461-175-0200 — Notice Situations; General Information Interviewing the survivor In the TA-DVS Program, we are required to complete a face-to-face interview with the survivor. The requirement to complete a face-to-face interview can be waived if there is a safety risk due to domestic violence, or if there is a hardship. Hardship is considered: • Care of household member • An individual’s age, disability or illness • A commute of more than two hours from the individual’s residence to the nearest branch office • A conflict between the individual’s work or training schedule and the business hours of the branch office • Transportation difficulties due to prolonged severe weather or financial hardship In these cases, where there is a safety risk due to domestic violence or a hardship, we can complete the interview via phone, home visit or offsite appointment. The reason for hardship is documented in the case note. If the interview is completed by phone, first ask the survivor if this is a safe time to talk. It is important to be mindful that, in a phone interview, we are not able to confirm who else is present during the intake. Listen to determine if there are others present and pay attention to cues from the survivor that they may not be safe to talk. If completing an offsite appointment or home visit, confirm the abuser will not be at the visit. We cannot complete a home visit or offsite appointment if it is not safe for ODHS staff or the survivor. ODHS will not go on a home visit when the abuser still lives in the home. If determined it is safe to complete a home visit or offsite appointment, inform leadership in person and by email before leaving for the appointment; note your expected return time. You will be accompanied for these appointments by another ODHS staff member or partner. Safety is our primary concern when interviewing an individual: • Never ask the survivor about domestic violence in front of or within hearing of the alleged abuser.