Participant Name: [Name]
Date: [Date]
Household Size: [Number]
Monthly Income: [Amount]
The participant returned to receive a new food box and met all eligibility requirements. The request for the food box was approved.
[Title] - [Name]
On [Date], [Name], a participant, visited our office seeking information about our programs and services. During the initial assessment, it was determined that SNAP (Supplemental Nutrition Assistance Program) could significantly alleviate barriers. We completed the application process, ensuring its submission either by mail or through OneDHS. Additionally, all required documentation has been uploaded to MyHELP.
[Title] – [Name]
On [Date of Authorization], the participant, [Participant's Name], contacted The HELP Center to authorize [Authorized Person's Name] as an authorized individual to pick up a food box from The HELP Center's Food Pantry on their behalf. The participant has indicated that they are unable to physically come into the office due to a physical disability.
The participant has submitted a signed letter of authorization for verification purposes. The letter has been reviewed and verified, confirming the authorization. A copy of the signed letter has been uploaded to the participant's file in MyHELP for record-keeping.
[Authorized Person's Name] is now authorized to pick up the food box on behalf of [Participant's Name] from The HELP Center's Food Pantry.
[Title] - [Name]
Participant Name:
Date:
Household Size:
Monthly Income:
ID Type:
The participant applied for services and met with the Case Management team to conduct a needs assessment. During the meeting, the Case Manager reviewed available services and programs with the participant. It was determined that the participant did not met all eligibility requirements for the Food Pantry Program. Applicant does not reside in The HELP Center's service areas of 37208, 37209, 37207, 37218, and 37115. The participant was issued a list of additional pantries in Davidson County, and the process for accessing recurring services was thoroughly explained. The participant's request for a food box was not approved, and they were provided with a one-time courtesy box. No further assistance can be provided at this time.
Date:
Participant Name:
Case Manager:
The above-mentioned participant completed a TEFAP Intake Form. All required sections were filled out, and the participant signed and received the Written Notice of Beneficiary Rights and Nondiscrimination Statement. The following changes were reported since their last visit:
[List any changes. If none, type "NONE"]
CM-
Participant Name:
Date:
Household Size:
Monthly Income:
ID Type:
Participant presented and applied for Food Pantry services. The participant met with the Case Management Department to complete a comprehensive needs assessment. The assessment was conducted collaboratively with the assigned Case Manager, during which the participant’s immediate needs were reviewed and additional programs and supportive services available through the agency were discussed.
