Tennessee DHS Family Assistance Renewal Application
This file is a renewal application for family assistance programs in Tennessee. It is essential for individuals or families seeking to continue receiving SNAP or Families First benefits. Complete the form accurately to ensure your benefits are maintained.
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How do I fill this out?
To fill out this form, gather relevant information about your household and financial status. Carefully follow the instructions for each section to provide accurate details. If you need assistance while completing the form, consider reaching out to a local DHS office.

How to fill out the Tennessee DHS Family Assistance Renewal Application?
1
Gather necessary personal and household information.
2
Complete each section of the form as directed.
3
Ensure all Social Security numbers are accurate.
4
Review the form for completeness and accuracy.
5
Submit the form to your county DHS office.
Who needs the Tennessee DHS Family Assistance Renewal Application?
1
Families applying for SNAP benefits need this form to renew their aid.
2
New applicants who have previously received aid need this form to apply again.
3
Households experiencing changes in income must submit this to update their benefits.
4
Individuals seeking to report new household members to maintain eligibility.
5
Anyone needing to report changes in resources to avoid lapses in benefits.
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What are the instructions for submitting this form?
To submit this form, mail it to your local county DHS office using the provided pre-paid envelope. For fax submissions, contact your local office for the fax number. If you prefer online submission options, please verify with your county DHS for available methods of sending your application.
What are the important dates for this form in 2024 and 2025?
Important dates for filing this form in 2024 and 2025 will likely correspond with the fiscal year schedule of benefits renewing. Typically, applications should be submitted at least 30 days prior to the expiration of current benefits to ensure continued assistance. Please check with the DHS office for specific renewal timelines.

What is the purpose of this form?
The purpose of this form is to serve as a formal application for the renewal of Family Assistance benefits in Tennessee. It collects essential information regarding household changes, income, and resources to determine eligibility for SNAP and Families First programs. Accurately completing this form is crucial for maintaining ongoing access to necessary support for families in need.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The full name of the applicant.
- 2. Home Address: Current address of the applicant.
- 3. Phone Numbers: Contact numbers including work, home, or cell.
- 4. Household Members: List of all individuals living in the household.
- 5. Income Amount: Total income made per month.
- 6. Resources: Details of cash, checking accounts, and other assets.
What happens if I fail to submit this form?
Failing to submit this form can lead to a loss of benefits. If the application is not received by the due date, the household's eligibility may be assessed incorrectly, leading to delays or termination of assistance. It is crucial to ensure timely submission to avoid these consequences.
- Loss of Benefits: Inability to receive food assistance if the form is not submitted.
- Delayed Aid: Potential delays in processing related to incomplete or late submissions.
- Ineligibility: Applicants may be declared ineligible due to lack of current information.
How do I know when to use this form?

- 1. Annual Renewal: Required for yearly renewal of benefits.
- 2. Change in Household Size: Used to report new or removed household members.
- 3. Income Changes: To adjust benefits due to changes in income.
Frequently Asked Questions
How do I fill out the application form?
You can fill out the application form by gathering necessary information and using PrintFriendly's editing tools to input your details.
Where can I submit the completed form?
The completed form can be submitted to your local DHS office or mailed using the pre-paid envelope provided.
What should I do if I make a mistake on the application?
Simply edit the PDF again using PrintFriendly and ensure all information is correct before resubmitting.
Do I need to provide Social Security numbers?
Yes, Social Security numbers for all household members applying for benefits must be included.
What happens if I don't submit my form on time?
If the form is not submitted on time, there may be delays in the continuation of your benefits.
Can I update my household information on the same form?
Yes, you can update any changes in household information directly on the form.
Is there assistance available for filling out this form?
Yes, assistance is available at local DHS offices or through customer service.
How can I get help if I don't understand a section?
Contact the DHS office for guidance on filling out specific sections of the application.
Can I submit this form online?
Currently, you will need to print and mail the form to the appropriate DHS office.
What kind of changes must be reported?
Any changes in household size, income, or resources need to be reported to maintain eligibility.
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