AGENCY: Department of Health and Human Services. Division of Child and Family Services

SERIES: 5153
TITLE: Department of Human Services client case files
DATES: 1979-1995.
ARRANGEMENT: Alphabetical by clients name.

DESCRIPTION: This record series is a complete case history of clients receiving services provided in or through a Family Support Office (OFS). Programs are funded by the Division of Family Services (DFS), Services to the Handicapped (DSH), State Office of Family Support(OFS), Aging and Adult Services (DAAS), and/or local discretionary funds. The Human Services client case files include but is not limited to the following types of Eligibility and Determination Forms: Application and Affidavit for Assistance and Food Stamps, Home Energy Assistance Target (HEAT), Reapplication for Assistance and Food Stamps, Application for Financial, Medical, and/or Food Stamps, Application for Social Services, Request for Expedited Services, and Notice of Decision (income report). Copies of: Birth certificates, social security card, car registrations and titles, divorce decrees and other court documents, medical reports, and certification of tribal membership. Payment Forms: Request for Special Need, Handwritten Check Request, Assistance Payments Request, Payee/Case Data Information, Transmittal of Collections, Report on Grant Overpayment, Coupon Books Lost in the Mail, and Forged Check Affidavits. Miscellaneous Documents: Permanency plans/individual service plans, progress notes, Random moment sample survey, activity logs, case activity logs, court orders, lien agreements, and guardianship orders.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Client case files, GRS-2459

AUTHORIZED: 05/12/1999

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year after case closes and then transfer to State Records Center. Retain in State Records Center for 9 years and then destroy.

APPRAISAL

Administrative Fiscal

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled