Contact Central or 10 Digit Telephone Number Person county/region 133-142 of Contact Person for M++ Phone contact on investigation purposes Number state requirement Contact up to 5 Digit Telephone Person Fill with Number extension of Contact Phone 143-147 O++ SPACES if not Person for investigation Number needed purposes (if needed) Extension Contact Fax Number for Contact Person Fax 148-157 M++ Person Number Contact Email Address of State Person Email 158-197 M++ Contact Person Address SSN See bottom of this document Whether the SSN Verification 198 for a list of SSA SVES M has been verified Indicator Verification Indicator Codes by SSA TANF Number of Countable Months Months 199-200 Client has received TANF O *** Eligibility Benefits as an
Contact Person Phone Number 133-142 10 Digit Telephone Number of Contact Person for investigation purposes M++ Central or county/region contact on state requirement Contact Person Phone Number Extension 143-147 up to 5 Digit Telephone Number extension of Contact Person for investigation purposes (if needed) O++ Fill with SPACES if not needed Contact Person Fax Number 148-157 Fax Number for Contact Person M++ Contact Person Email Address 158-197 Email Address of State Contact Person M++ SSN Verification Indicator 198 See bottom of this document for a list of SSA SVES Verification Indicator Codes M Whether the SSN has been verified by SSA TANF Months Eligibility 199-200 Number of Countable Months Client has received TANF Benefits as an O ***
PARIS_Interstate_Output_Record_Format_New.docx