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898 Chapter 5:Temporary Assistance for Domestic Violence Survivors (TA-DVS) Program • Section 6: Non-financial eligibility (07/2026) abuser (Intimate does not require sexual intimacy.) These can include any of the following: • Spouse • Former spouse • Individuals related by blood, marriage or adoption • Individuals who are cohabitating or have cohabited with each other • Individuals who have been involved in a sexually intimate or dating relationship, or • Unmarried parents of a child. A single or one-time instance of abuse or controlling behavior does not necessarily constitute a risk of further or future abuse. When there is a history of these behaviors, or when the behaviors have escalated in frequency or type, or if the survivor is concerned these behaviors will lead to physical abuse, there may be a higher risk of further or future abuse. Determining if the situation meets the SSP Definition of Domestic Violence: When determining if a survivor’s situation meets the SSP Definition of Domestic Violence (DV) workers will utilize one of the following: TA-DVS Statement of Domestic Violence Experience (1514000b) The Statement of Domestic Violence experience form is intended to be a tool completed with survivors when attending an in-person intake for TA-DVS. Always offer choice in if the survivor wants to complete the form or would prefer a conversation with the worker using the TA-DVS Statement of Domestic Violence – Worker Conversation Guide (1514000a). Once completed by the survivor, upload the form to the electronic case file. TA-DVS Statement of Domestic Violence – Worker Conversation Guide (1514000a) This form is the guide to be used by the worker to determine if the survivor’s situation meets the SSP definition of DV verbally. This form is intended for staff use only and is not to be given to the survivor to complete. If the survivor is in person, offer the option of completing the TA-DVS Statement of Domestic Violence Experience (1514000b). Once completed, document survivor response to the questions in case notes. The intention of these tools is to help support with quickly identifying if a survivors situation meets the SSP Definition of DV, provide a more streamlined intake process and reduce system trauma for survivors and vicarious trauma for staff supporting survivors. Click here for examples: Need to meet SSP definition of domestic violence. Oregon Administrative Rule(s) 461-001-0000 — Definitions for Chapter 461