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8/9/2019 Replacing Food Stamps and Food
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STATE OF TENNESSEE
DEPARTMENT OF HUMAN SERVICES
CITIZENS PLAZA BUILDING400 DEADERICK STREET
NASHVILLE, TENNESSEE 37243-1403
Telephone: 615-313-4700 FAX: 615-741-4165
TTY: 1-800-270-1349www.state.tn.us/humanserv/
PHIL BREDESEN VIRGINIA T. LODGEGovernor Commissioner
Memorandum FS-10-04
To: All District, County and Area OfficesFamily Assistance Service Centers
Division of Appeals and Hearings
From: Paul Lefkowitz, Family Assistance Policy Director
Date: May 3, 2010
Subject: Food Stamp Replacements Due to Severe Weather in May, 2010
Households who had purchased food with food stamps and the food items were subsequently lost due
to a power outage or destruction as result of the severe weather are eligible for replacement food stamp
benefits upon request. The food that was purchased with food stamp benefits does not have to be food
that was purchased with the May allotment. The food could have been purchased with benefits from the
current or past months allotments. We are issuing the replacement to cover the food lost, not the
current months allotment. The replacement should be for the value of the loss and must not exceed the
value of the current months allotment.
Clarification has been received from USDA that when a replacement is requested due to power outages
that the period of time for the power outage is twenty-four hours (24).
To be eligible for a replacement:
The household must report the loss within 12 calendar days (the count of 12 calendar days shall
begin May 3, 2010 and would go through May 14, 2010).
8/9/2019 Replacing Food Stamps and Food
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FS-10-04
May 3, 2010
Page 2
The caseworker must verify that the household was affected by the severe weather through a
collateral contact, a community organization, or a contact with an agency or business in a position
to know. If the county office has first hand knowledge of the disaster areas impacted no
further verification is required.
The food stamp recipient must sign a request for replacement (See the attached form.) If the county
has firsthand knowledge of the severe weather impact no signed statement by the recipient is
necessary.
If the household is eligible, the caseworker must authorize a replacement for the household on the
BISF screen. (If there is an outstanding claim against the group, the replacement benefits will be
recouped if done on the BIFS screen. Benefits issued from BISF will not be recouped.) In the
Suppl Rsn field, use reason code 113. If the replacement was completed on the BIFS screen and
benefits recouped, reauthorize the replacement on BISF and contact Melody OSaile in Fiscal
Services by email at DE01F35 to request the recouped replacement be backed out of COTS. CLRC
must be documented to address the action to correct this error.
The replacement must be provided to the eligible household within 10 calendar days of the reported
loss.
Documentation must be completed on CLRC concerning the reason for the replacement and
verification used or statement that information is known and how it is known to the agency.
Attached you will find the Food Stamp Disaster Replacements Power Outage Recipient Log to beused to record all replacements (power outage and destruction) authorized as a result of the severe
weather. The log may also be found in the GroupWise Default Library. A copy of this log must be
submitted to the Food Stamp Policy Section by May 28, 2010. Please indicate on the log the county for
which the replacements are issued. The log may be submitted as an email attachment addressed to:
[email protected]. Our office will be maintaining this information for Federal reporting purposes.
If you have questions please contact the Food Stamp Policy section through your District Office
Director or Supervisor.
PL/SR
8/9/2019 Replacing Food Stamps and Food
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TENNESSEE DEPARTMENT OF HUMAN SERVICES
FOOD STAMP DISASTER
REPLACEMENTS POWER OUTAGE
RECIPIENT LOG
DATE RECIPIENT NAME CASE/CAT/SEQ # AMT AUTH
HS-2788 FA FS Disaster Replcmts log Power Out
8/9/2019 Replacing Food Stamps and Food
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TENNESSEE DEPARTMENT OF HUMAN SERVICES
REQUEST FOR FOOD STAMP
REPLACEMENTS DUE TO POWER OUTAGE
Name: ______________________________________ Case/Cat/Seq #: _____________________
Date: _______________________________________ SSN: ______________________________
County: ____________________________________
____ I certify that I have lost food in the amount of $ ___________________ as a result of a power
outage of at least twenty-four (24) hours.
_____________________________________ ___________________________
Signature Date
_____________________________________
Witness (if signed by mark)
FS Replacement Request