Tennessee Department of Human Services Forms

This Form is used for requesting a SNAP refund due to an adversity and interruption of electric service in the family nucleus in Tennessee.

This Form is used for applying for Social Services Block Grant (SSBG) services in Tennessee. The form provides instructions on how to complete the application and what documents are required.

This Form is used for requesting specific assistance in the state of Tennessee.

This Form is used for revising the budget of a Tennessee Ssbg Contract.

This Form is used for providing specific assistance to individuals in Tennessee.

This form is used for providing specific assistance to individuals in Tennessee.

This Form is used for designating authorized signatories for the Social Services Block Grant (SSBG) in the state of Tennessee.

This Form is used for obtaining permission to provide pre-employment transition services in the state of Tennessee.

This form is used for designating authorized signatories for the State Services for the Blind and Visually Impaired (SSBG) program in Tennessee.

This form is used for obtaining permission for pre-employment transition services in Tennessee.

This form is used for transferring criminal background check records in the state of Tennessee. It is used to ensure that individuals with a criminal history are properly evaluated for employment, licensing, or other purposes.

This form is used for individuals in Tennessee to refuse services offered through the Social Services Block Grant (SSBG) program.

This form is used for withdrawing a civil rights complaint in the state of Tennessee.

This form is used for filing an appeal regarding a civil rights complaint in the state of Tennessee. It provides a structured way for individuals to address their concerns and seek resolution for any alleged violations of their civil rights.

This Form is used for requesting child support services in Tennessee. It is specifically designed for Spanish speakers.

This form is used for filing a civil rights complaint in Tennessee related to issues faced by the Somali community.

This form is used for applying for child support services in the state of Tennessee.

This document is for individuals or organizations in Tennessee who wish to apply for a license to operate an adult day services agency.

This document is used for requesting a license to operate an Adult Day Services Agency in Tennessee.

This form is used for making specific assistance requests related to Tennessee.

This Form is used for revising the contract budget for the Ssbg Contract in Tennessee.

This Form is used for submitting monthly services reports for the State Services Block Grant (SSBG) program in Tennessee.

This form is used for keeping track of missed appointments related to the State Services Block Grant (SSBG) in Tennessee. It provides instructions on how to document and record missed appointments in order to maintain accurate records and monitor program status.

This document provides instructions for completing Form HS-3488 Ssbg Client Waiting List, which is used in the state of Tennessee. The form is intended to establish a waiting list for clients applying for the Ssbg program. It outlines the information required and the steps to follow for submission.

This document is for individuals in Tennessee who are refusing services funded by the State Services Block Grant (SSBG). It provides instructions on how to properly fill out Form HS-3489.

This form is used for submitting a consolidated appeal request for residents in Tennessee.

This form is used for submitting a consolidated appeal request to the state of Tennessee in Somali language.

This form is used for participants of the Crest program in Tennessee to authorize certain actions or permissions.