Form IN-1921 Eligibility Verification for Entitlements Act Attestation - Tennessee

What Is Form IN-1921?

This is a legal form that was released by the Tennessee Department of Commerce and Insurance - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the IN-1921 Eligibility Verification for Entitlements Act Attestation?
A: The IN-1921 Eligibility Verification for Entitlements Act Attestation is a form used in Tennessee to verify eligibility for certain entitlement programs.

Q: What is the purpose of the IN-1921 form?
A: The purpose of the IN-1921 form is to attest that the individual is eligible for certain entitlement programs in Tennessee.

Q: Who can use the IN-1921 form?
A: The IN-1921 form can be used by individuals who are applying for or receiving certain entitlement programs in Tennessee.

Q: What entitlement programs does the IN-1921 form apply to?
A: The IN-1921 form applies to various entitlement programs such as Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF).

Q: What information is required in the IN-1921 form?
A: The IN-1921 form requires information such as the individual's name, date of birth, Social Security number, and details about the entitlement program being applied for or received.

Q: Are there any penalties for providing false information on the IN-1921 form?
A: Yes, providing false information on the IN-1921 form can result in penalties, including criminal prosecution and the requirement to repay any benefits received.

Q: Is assistance available for filling out the IN-1921 form?
A: Yes, assistance is available for filling out the IN-1921 form. Individuals can contact their local Department of Human Services office for help.

Q: How often do I need to submit the IN-1921 form?
A: The frequency of submitting the IN-1921 form depends on the specific entitlement program. Some programs may require it to be submitted annually, while others may have different timeframes.