Use this form to request that the Safe at Home Program facilitate the transfer of records from one public school to another. Safe at Home is also happy to facilitate the transfer of records to or from a private school to another school, public or private.
What is the Certified Application Assistant Application form?
This form should be used only by victims services professionals and other advocates who wish to be trained and certified as an Application Assistant. Please contact the Safe at Home Program directly for more information regarding upcoming training sessions or to schedule a training in your area.
What does Title VI do?
Prohibits entities from denying an individual any service, financial aid, or other benefit because of race, color or national origin.
Prohibits entities from providing a different service or benefit or providing these in a different manner from those provided to others under the program.
Prohibits segregation or separate treatment in any manner related to receiving program services or benefits.
Prohibits entities from requiring different standards or conditions as prerequisites for serving individuals.
Encourages the participation of minorities as members of planning or advisory bodies for programs receiving federal funds.
Prohibits discriminatory activity in a facility built in whole or part with Federal funds.
Requires information and services to be provided in languages other than English when significant numbers of beneficiaries are of limited English speaking ability.
Requires entities to notify the respective population about applicable programs.
Prohibits locating facilities in any way that would limit or impede access to a Federally funded service or benefit.
Requires assurance of nondiscrimination in purchasing of services.
What is the Notice of Name Change form?
Use this form to let the Safe at Home Program know that you have legally changed your name. Be sure to attach documentation of the change to your submitted form. Remember that a legal change of your name must be reported to the Safe at Home Program within 10 days of the change.
How do I change my business address?
You can file form SS-4800 to change the mailing address by mail or in person. A change in Registered Agent or principal address requires filing Articles of Amendment and paying the statutory $20 filing fee. Forms can be found on our the Forms & Fees page for mail and in person filings.
Who must comply?
State and local government: Agencies distributing federal assistance or entities distributing federal assistance to the state or local government entity.
Higher education: college, university, or other post-secondary institution
Local education agency or system of vocational education, or other school system
An entire corporation, partnership, or other private organization, or an entire sole proprietorship
The entire plant or private corporation or other organization which is a geographically separate facility to which federal financial assistance is extended.
What is Title VI?
Title VI of the 1964 Civil Rights Act says, ”No person in the United States shall, on the grounds of race, color or national origin, be excluded from participation in, be denied the benefit of, or be subjected to discrimination under any program or activity receiving federal financial assistance.” 42 U.S.C.§2000d
What does Title VI not do?
Does not apply to Federal assistance provided through insurance or guaranty contracts, (e.g. FHA loan insurance).
Does not apply to employment, except where employment practices result in discrimination against program beneficiaries or where the purpose of the Federal assistance is to provide employment.
Does not apply to direct benefit programs such as Social Security.
Does not apply only to contracts and set-aside programs.
What is the Notice of Change form?
se this form to let the Safe at Home Program know about any changes in your contact information, your household composition, and more. If you have any questions about this form, please contact the Safe at Home program directly for assistance. Remember that any changes to your contact information or your application information should be reported to the Safe at Home Program within 30 days from the date the change occurred.
What is the Eligibility Verification Request form?
Use this form to request that the Secretary of State verify your eligibility, and the eligibility of your children, for enrollment in public benefits programs or public schools. Participants should fill in their information and take this form to the public benefits agency or public school to be completed by a case manager or registrar. The form should then be submitted directly to the Safe at Home Program for verification and certification. Participants must ensure that their residential address is up to date and that the Safe at Home Program has fully verified their residential address prior to submitting the form.
How does Title VI apply to Public Policy?
Title VI is a mechanism that directs the federal financial assistance, which drives or promotes economic development. By legislative mandate, Title VI examines the following public policy issues:
Accessibility for all persons
Infrastructure development
Accountability in public funds expenditures
Minority participation in decision making
Disparate impact
Program service delivery
Economic empowerment
Public-Private partnerships in part or whole with public funds
Environmental Justice
Site and location of facilities
What is an Administrative Dissolution?
An Administrative dissolution occurs for the following reasons:
Failure to file an annual report
Being without a registered agent
A foreign entity fails to maintain its assumed name due to a name conflict
Returned payment by a financial institution
What is a Certificate of Existence?
A certificate of existence is a document issued by our office that certifies that an entity is active and in good standing.
What is the Administrative Request for Disclosure form?
This form is intended for use only by authorized administrative agency officials at either the state or local level. If you have questions regarding this form, please contact the Safe at Home Program directly.
Can public utilities ask participants for their residential street address?
Program participants may be required to provide their residential street address to a public utility service provider for the purpose of obtaining utility services. However, participants can request that their residential address be treated as confidential by presenting the public service utility with a certificate of program participation.
After doing so, the public utility service provider must treat the residential address and all other identifying information as confidential in accordance with the Tennessee Public Records Act, compiled at Title 10, Chapter 7, Part 5.
What is the Petition for Review form?
Use this form to request a contested case hearing. Participants may request a contested case hearing if they have been notified that their program participation is to be terminated, with limited exceptions, or when they have been notified that their confidential information has been requested by an administrative agency and the Secretary of State has determined that some or all of their information should be disclosed. If you think that you may want to request a contested case hearing, please contact the Safe at Home Program directly to discuss your concerns.