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GEORGIA DEPARTMENT OF HUMAN SERVICES
Notice of Determination for Youth to Receive Extended Youth Support Services
And
Right to Administrative Case Review
     
          
     
     
     
Dear      ,
This letter is to inform you that your request to receive Extended Youth Support Services
(EYSS) has been reviewed and a determination has been made.
The       Department of Family & Children Services has made the following decision:
[Check Appropriate]
Approved: You are eligible to receive services offered through the Independent
Living Program and your assigned Permanency Worker will assist you in maintaining
housing and services.
Denied: You are not eligible to receive Extended Youth Supportive Services.
You may contact your region/county Independent Living Coordinator to determine what
other services that may be available through the Independent Living Program.
You have the right to request an administrative case review if you are not in
agreement with the decision stated above. To do so, you must mail a letter to the
DFCS Social Services Director within 10 days of receipt of this letter.
Georgia Department of Human Services
Division of Family and Children Services
Social Services Section Director
2 Peachtree Street, NW
Atlanta, GA 30303
Sincerely,
     
Regional Director/Designee
Prepare in triplicate. File the original in the Case Record- copies shall be provided to the youth and ILC Coordinator.

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Notice of determination

  • 1. GEORGIA DEPARTMENT OF HUMAN SERVICES Notice of Determination for Youth to Receive Extended Youth Support Services And Right to Administrative Case Review                                    Dear      , This letter is to inform you that your request to receive Extended Youth Support Services (EYSS) has been reviewed and a determination has been made. The       Department of Family & Children Services has made the following decision: [Check Appropriate] Approved: You are eligible to receive services offered through the Independent Living Program and your assigned Permanency Worker will assist you in maintaining housing and services. Denied: You are not eligible to receive Extended Youth Supportive Services. You may contact your region/county Independent Living Coordinator to determine what other services that may be available through the Independent Living Program. You have the right to request an administrative case review if you are not in agreement with the decision stated above. To do so, you must mail a letter to the DFCS Social Services Director within 10 days of receipt of this letter. Georgia Department of Human Services Division of Family and Children Services Social Services Section Director 2 Peachtree Street, NW Atlanta, GA 30303 Sincerely,       Regional Director/Designee Prepare in triplicate. File the original in the Case Record- copies shall be provided to the youth and ILC Coordinator.