Human Services Benefits

STATE OF TENNESSEE

DEPARTMENT OF HUMAN SERVICES

JAMES K. POLK BUILDING

*** ********* ******

NASHVILLE, TENNESSEE 37243-1403

TELEPHONE: 615-***-**** FAX: 615-***-****

TTY: 1-800-***-****

www.tn.gov/humanservices

BILL LEE

GOVERNOR

Clarence H. Carter

COMMISSIONER

To Whom It May Concern:

This letter is to verify that (Insert HoH Name) currently receives benefits from the Tennessee Department of Human Services. These benefit programs are means-tested programs, and (Insert HoH Name) has verified that their income and resources are such that they qualify for assistance. They have been receiving the following benefits:

SNAP in the amount of $ monthly. Certification dates to TANF in the amount of $ monthly. Certification dates to The individuals in the household are:

Name DOB SNAP

(select)

TANF

(select)

Contact this candidate