GEORGIA DEPARTMENT OF HUMAN SERVICES



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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