Human Services - Forms and Applications
FORMS
APPEAL FORM - Families First, Food Stamps, Medicaid\TennCare
English
Spanish
CHILD CARE
- Summary of Family Home Licensing Requirements
- Summary of Group Home Licensing Requirements
- Summary of Center Licensing Requirements
- Personal Safety Notification Form
- Sample Influenza Information Notification Form
- Child Care Fingerprint Applicant Information & Criminal/Juvenile History Disclosure Form
- Transmittal Authorization Form
- Sample Professional Development Plan
CHILD SUPPORT FORMS
- CHILD SUPPORT APPEAL FORM
- CHILD SUPPORT APPLICATION
- CLIENT COMPLAINT
- Direct Deposit Enrollment Form For Child Support Payments
CIVIL RIGHTS FORMS
- Complaint Under Civil Rights Act of 1964
- Withdrawal of Complaint or Appeal For Fair Hearing
- Appeal From Finding
HIPAA RELEASE FORMS
- HIPAA Authorization for Release of Information
- HIPAA Authorization for Release of Information - (Spanish)
- Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records
- Parent/Guardian Authorization For The Tennessee Department Of Education Or Local Education Agency To Release School Attendance Records - (Spanish)
- General Authorization for Release of Information to the TDHS to a 3rd Party
- General Authorization for Release of Information to the TDHS to a 3rd Party - (Spanish)
- Tennessee Department Of Human Services HIPAA Authorization For Release Of Medical/Health Information To 3rd Party
- Tennessee Department Of Human Services HIPAA Authorization For Release Of Medical/Health Information To 3rd Party - (Spanish)
- General Authorization For Release Of Information To The Tennessee Department Of Human Services
- General Authorization For Release Of Information To The Tennessee Department Of Human Services - (Spanish)
VOCATIONAL REHABILITATION FORMS
