Common use of VERIFICATION PROCEDURES Clause in Contracts

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case from CA-DSS regarding a Benefit Applicant for TANF and SNAP, agrees to provide CA-DSS through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSS. See Section E for details. DHS-USCIS agrees to provide CA-DSS with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CA-DSS with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS agrees to ensure, and report completion of, the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSS’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program case, CA-DSS agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant whose immigration status must be verified to determine eligibility for TANF and SNAP administered by CA-DSS. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS with information that does not match the status claimed by the individual, CA-DSS agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. CA-DSS will scan the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS accurate immigration status information. CA-DSS agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CA-DSS DHCS regarding a Benefit Applicant for TANF and SNAPMedicaid, agrees to provide CA-DSS DHCS through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security Social Security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSDHCS. See Section E for details. DHS-USCIS agrees to provide CA-DSS DHCS with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CA-DSS DHCS with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS DHCS with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS DHCS agrees to ensure, and report the completion of, the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSDHCS’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CA-DSS DHCS agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP Medicaid administered by CA-DSSDHCS. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS DHCS with information that does not match the status claimed by the individual, CA-DSS DHCS agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS DHCS agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a electronically completed electronic Document Verification Form G-845. CA-DSS will scan G-845 with scanned and uploaded versions of the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepteddocument(s). This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS DHCS accurate immigration status information. Submission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless SAVE expressly requests submission in that format. CA-DSS DHCS agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS DHCS also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CANY-DSS DOL regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CANY-DSS DOL through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security Social Security number of the Benefit Applicant’s sponsor, if any, if requested by CANY-DSSDOL. See Section E for details. DHS-USCIS agrees to provide CANY-DSS DOL with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CANY-DSS DOL with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CANY-DSS DOL with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CANY-DSS DOL agrees to ensure, and report completion of, ensure the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CANY-DSSDOL’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CANY-DSS DOL agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified to determine eligibility for TANF and SNAP UC benefits administered by CANY-DSSDOL. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS NY- DOL with information that does not match the status claimed by the individual, CANY-DSS DOL agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CANY-DSS DOL agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic a copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. CA-DSS will Alternatively, NY- DOL may scan the Benefit Applicant’s immigration document and upload it to SAVE DHS- USCIS rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CANY-DSS DOL accurate immigration status information. CANY-DSS DOL agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CANY-DSS DOL also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CA-DSS NJLWD regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CA-DSS NJLWD through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security Social Security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSNJLWD. See Section E for details. DHS-USCIS agrees to provide CA-DSS NJLWD with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- non-discrimination requirements. DHS-USCIS agrees to provide CA-DSS NJLWD with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS NJLWD with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS NJLWD agrees to ensure, and report completion of, ensure the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSNJLWD’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CA-DSS NJLWD agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CA-DSSNJLWD. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS NJLWD with information that does not match the status claimed by the individual, CA-DSS NJLWD agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS NJLWD agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic a copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. CA-DSS will Alternatively, NJLWD may scan the Benefit Applicant’s immigration document and upload it to SAVE DHS-USCIS rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS NJLWD accurate immigration status information. CA-DSS NJLWD agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS NJLWD also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CAMA-DSS DUA regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CAMA-DSS DUA through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security Social Security number of the Benefit Applicant’s sponsor, if any, if requested by CAMA-DSSDUA. See Section E for details. DHS-USCIS agrees to provide CAMA-DSS DUA with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CAMA-DSS DUA with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CAMA-DSS DUA with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CAMA-DSS DUA agrees to ensure, and report completion of, the proper training of ensure its employees and contractors in have: been properly trained in, and have reported completion of, the use of the SAVE program, to ensure that its employees and contractors will complete ; completed all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide ; provided appropriate monitoring of CAMA-DSSDUA’s use of the SAVE program to protect against misuse and abuse, ; and to respond responded in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CAMA-DSS DUA agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CAMA-DSSDUA. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CAMA-DSS DUA with information that does not match the status claimed by the individual, CAMA-DSS DUA agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CAMA-DSS DUA agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a electronically completed electronic Document Verification Form G-845. CA-DSS will scan G-845 with scanned and uploaded versions of the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepteddocument(s). This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CAMA-DSS DUA accurate immigration status information. CASubmission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless SAVE expressly requests submission in that format. MA-DSS DUA agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CAMA-DSS DUA also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CA-DSS TWC regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CA-DSS TWC through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSTWC. See Section E for details. DHS-USCIS agrees to provide CA-DSS TWC with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CA-DSS TWC with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS TWC with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS TWC agrees to ensure, and report completion of, ensure the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSTWC’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CA-DSS TWC agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CA-DSSTWC. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS TWC with information that does not match the status claimed by the individual, CA-DSS TWC agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS TWC agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic a copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. CA-DSS will Alternatively, TWC may scan the Benefit Applicant’s immigration document and upload it to SAVE DHS-USCIS rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS TWC accurate immigration status information. CA-DSS TWC agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS TWC also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CA-DSS DHCS regarding a Benefit Applicant for TANF and SNAPMedicaid benefits, agrees to provide CA-DSS DHCS through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSDHCS. See Section E for details. DHS-USCIS agrees to provide CA-DSS DHCS with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination nondiscrimination requirements. DHS-USCIS agrees to provide CA-DSS DHCS with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS DHCS with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS DHCS agrees to ensure, and report completion of, ensure the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSDHCS’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CA-DSS DHCS agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP Medicaid benefits administered by CA-DSSDHCS. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS DHCS with information that does not match the status claimed by the individual, CA-DSS DHCS agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS DHCS agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic a copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. Alternatively, CA-DSS will DHCS may scan the Benefit Applicant’s immigration document and upload it to SAVE DHS-USCIS rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS DHCS accurate immigration status information. CA-DSS DHCS agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS DHCS also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CANJ-DSS LWD regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CANJ-DSS LWD through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security Social Security number of the Benefit Applicant’s sponsor, if any, if requested by CANJ-DSSLWD. See Section E for details. DHS-USCIS agrees to provide CANJ-DSS LWD with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CANJ-DSS LWD with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CANJ-DSS LWD with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CANJ-DSS LWD agrees to ensure, and report the completion of, the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CANJ-DSSLWD’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CANJ-DSS LWD agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CANJ-DSSLWD. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CANJ-DSS LWD with information that does not match the status claimed by the individual, CANJ-DSS LWD agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CANJ-DSS LWD agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a electronically completed electronic Document Verification Form G-845. CA-DSS will scan G-845 with scanned and uploaded versions of the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepteddocument(s). This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CANJ-DSS LWD accurate immigration status information. CASubmission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless SAVE expressly requests submission in that format. NJ-DSS LWD agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CANJ-DSS LWD also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CANY-DSS DOL regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CANY-DSS DOL through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CANY-DSSDOL. See Section E for details. DHS-USCIS agrees to provide CANY-DSS DOL with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CANY-DSS DOL with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CANY-DSS DOL with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CANY-DSS DOL agrees to ensure, and report the completion of, the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CANY-DSSDOL’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CANY-DSS DOL agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CANY-DSSDOL. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CANY-DSS DOL with information that does not match the status claimed by the individual, CANY-DSS DOL agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CANY-DSS DOL agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a electronically completed electronic Document Verification Form G-845. CA-DSS will scan G-845 with scanned and uploaded versions of the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepteddocument(s). This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CANY-DSS DOL accurate immigration status information. CASubmission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless SAVE expressly requests submission in that format. NY-DSS DOL agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CANY-DSS DOL also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case from CA-DSS TWC regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CA-DSS TWC through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSTWC. See Section E for details. DHS-USCIS agrees to provide CA-DSS TWC with instructional materials required for the proper use of the SAVE ProgramSAVE. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- non-discrimination requirements, and (5) records correction procedures for Benefits Applicants. DHS-USCIS agrees to provide CA-DSS TWC with a sufficient number enough of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS TWC with the name, address, and telephone number of appropriate points of contact (POC) within DHS-DHS- USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS TWC agrees to ensure, and report completion of, the proper training of its employees and contractors in the use of the SAVE programand compliance with all privacy protections and non- discrimination requirements, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSTWC’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program case, CA-DSS TWC agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant whose immigration status must be verified to determine eligibility for TANF and SNAP Unemployment Compensation (UC) benefits administered by CA-DSSTWC. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS TWC with information that does not match the status claimed by the individual, CA-DSS TWC agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS pursuant to Section M of this Agreement before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS TWC agrees to provide the SAVE Program with an scanned documents and other electronically submitted information required for manual additional verification. TWC consents to electronic-only submission of all verification requests and additional information, including all information submitted for SAVE additional verification (formerly submitted on paper Forms G-845 and G-845 Supplement). SAVE will reject non-electronic description of the applicant’s immigration document (such as paper or an electronic copy of the applicant’s documentation fax) verification requests and a completed electronic Document Verification Form G-845. CA-DSS will scan the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not acceptedinformation submissions. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS TWC accurate immigration status information. CA-DSS TWC agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS TWC also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal and State law, law and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CAMA-DSS DUA regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CAMA-DSS DUA through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CAMA-DSSDUA. See Section E for details. DHS-USCIS agrees to provide CAMA-DSS DUA with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination nondiscrimination requirements. DHS-USCIS agrees to provide CAMA-DSS DUA with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CAMA-DSS DUA with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CAMA-DSS DUA agrees to ensure, and report completion of, ensure the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CAMA-DSSDUA’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CAMA-DSS DUA agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CAMA-DSSDUA. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CAMA-DSS DUA with information that does not match the status claimed by the individual, CAMA-DSS DUA agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CAMA-DSS DUA agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic a copy of the applicant’s documentation and a completed electronic Document Verification Form G-845. CA-DSS will Alternatively, MA- DUA may scan the Benefit Applicant’s immigration document and upload it to SAVE DHS- USCIS rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepted. This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CAMA-DSS DUA accurate immigration status information. CAMA-DSS DUA agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CAMA-DSS DUA also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.

VERIFICATION PROCEDURES. DHS-USCIS, upon receipt of an immigration status verification case query from CA-DSS TWC regarding a Benefit Applicant for TANF and SNAPUC benefits, agrees to provide CA-DSS TWC through the SAVE Program the following information pertaining to the individual: SAVE Program case verification number, name, date and country of birth, date of entry, and immigration status data. The SAVE Program may also provide information regarding periods of employment authorization and the name, address, and social security number of the Benefit Applicant’s sponsor, if any, if requested by CA-DSSTWC. See Section E for details. DHS-USCIS agrees to provide CA-DSS TWC with instructional materials required for the proper use of the SAVE Program. These instructional materials address the policies and procedures governing use of the program, including (1) program access, (2) verification procedures, (3) disclosure of information and privacy protections, and (4) non- discrimination requirements. DHS-USCIS agrees to provide CA-DSS TWC with a sufficient number of primary verification user codes to assure the effective implementation of this Agreement. DHS-USCIS agrees to provide CA-DSS TWC with the name, address, and telephone number of appropriate points of contact (POC) within DHS-USCIS, or its contractor organization, to answer any questions about the program, including its proper use and billing issues. CA-DSS TWC agrees to ensure, and report the completion of, the proper training of its employees and contractors in the use of the SAVE program, to ensure that its employees and contractors will complete all verification procedures necessary to determine immigration status before making any adverse determination against a Benefit Applicant for reasons relating to the Benefit Applicant’s immigration status, to provide appropriate monitoring of CA-DSSTWC’s use of the SAVE program to protect against misuse and abuse, and to respond in a timely manner to possible misuse of the program. To initiate a SAVE Program caseprogram query, CA-DSS TWC agrees to provide the alien registration number, I-94 number, or other immigration identifier or document of each benefit applicant Benefit Applicant whose immigration Immigration status must be verified in order to determine eligibility for TANF and SNAP UC benefits administered by CA-DSSTWC. If the SAVE Program cannot determine an individual’s records, requires additional information to provide an accurate response, or provides CA-DSS TWC with information that does not match the status claimed by the individual, CA-DSS TWC agrees that it will conduct additional verification through the SAVE program, including providing the individual an opportunity to address any mismatch or non-match by correcting his or her records with DHS-USCIS before making any adverse determination as a result of information produced by this matching program. To conduct these additional verification steps, CA-DSS TWC agrees to provide the SAVE Program with an electronic description of the applicant’s immigration document or an electronic copy of the applicant’s documentation and a electronically completed electronic Document Verification Form G-845. CA-DSS will scan G-845 with scanned and uploaded versions of the Benefit Applicant’s immigration document and upload it to SAVE rather than submit a paper Form G-845 with an attached copy of the document. Paper submission is not accepteddocument(s). This additional information will help ensure that the SAVE Program is able to check all relevant federal immigration files to provide CA-DSS TWC accurate immigration status information. CA-DSS Submission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless SAVE expressly requests submission in that format. TWC agrees that the information provided by the SAVE Program pursuant to this Agreement will be used solely for the purposes stated in this Agreement. CA-DSS TWC also agrees that this information will not be disclosed to any other individuals or entities for any other purpose, except as authorized or required by Federal federal and State law, and will notify DHS-USCIS if it discloses this information for these purposes.