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923 Chapter 5:Temporary Assistance for Domestic Violence Survivors (TA-DVS) Program • Section 9: Co-located domestic violence advocates (07/2026) certification period. Verbal Authorization ODHS may accept verbal authorization on the MSC 3010 when a hardcopy signature cannot be obtained to provide consent from the individual to share limited DV information with community agencies only. Verbal authorization is only to be used to share the below information when related to DV. The only information to be shared when a verbal authorization is used is: 1. The individual’s name 2. The individual’s safe contact information 3. Confirmation that the person wants the community agency to contact them. Recipients can only be community agencies. Verbal authorization cannot be used for any other DV information sharing purposes. Note: A hard copy signature is still required for the sharing of any DV information beyond the above three points, and when the individual is in person. For example, the worker completes the MSC 3010 and gets a verbal signature to refer the survivor to their local domestic violence agency. Sometime later, the survivor would like ODHS to talk with their DV advocate about their safety plan. A new MSC 3010 must be completed and signed with a hard copy signature. This process maintains confidentiality while providing survivor choice and reducing barriers to individuals accessing DV services and community agency referrals. Verbal authorization is to be collected by phone and is separate from all other signatures including a recorded verbal application signature. Steps to gather an individual’s verbal authorization for limited DV information sharing: 1. ODHS staff utilize validation points each time they speak with an individual by phone to confirm the identity of that individual. This is particularly important when individuals sign an MSC 3010 without a hard copy signature. 2. If previously established, the individual tells their passcode or passphrase to ODHS staff. (This would be found on the case sticky note). 3. ODHS staff safety plan with the individual regarding verbal authorization of the MSC 3010. This includes: a. The risk of phone conversation being overheard by someone else b. The individual will not have a written copy of the MSC 3010 4. The MSC 3010 is completed when ODHS staff: a. Reads the text to the individual and asks the individual what they would like to have written. b. Reads back to the individual each part of the completed MSC 3010 to confirm it reads as the