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Subject: Families First Verification and Documentation

Policy 23.17 Date of Last Review: 06/26/2024 Effective Date: 07/01/2024 Date of Next Review: 06/26/2027 RDA: SW22 Page 5 of 6 Supporting Documents Family Assistance Required Verifications HS-2772 Verification Checklist (English) HS-2772 Verification Checklist (Spanish) HS-2772 Verification Checklist (Arabic) HS-2772 Verification Checklist (Somali) Definitions/Acronyms Term Definition AU Assistance Unit Collateral Contact An individual living outside of the household who is in a position to know the AU’s circumstances. Documentary Evidence Written proof that is relied on as the basis, proof, or support of information provided by the AU and may be official or unofficial documents Official documents Documents that are prescribed or recognized as authorized and are most commonly provided by businesses, agencies, and organizations engaged in specific enterprises or service delivery such as social security card, utility bill, or award letter. TDHS Tennessee Department of Human Services Unofficial documents Documents that are not prescribed or recognized as authorized such as hand-written notes from employers, baby-sitters, etc. Verification The process of confirming or substantiating information provided by the customer. Supersedes Policy 23.17 Families First Verification and Documentation, eff. date 10/15/2023 Authority Tenn. Comp. R. & Regs. Ch. 1240-1-16 Application All TDHS Family Assistance Staff and Contractors