PARIS State Input Record Format (Effective in July 2008)
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Record Element Name |
Element Position |
Element Description/Definition |
Optional Mandatory |
Definition |
|---|---|---|---|---|
| Client SSN | 1-9 |
Client's Social Security Number | M |
Self-explanatory |
| Client Surname | 10-24 |
Client's Last Name | M |
Self-explanatory |
| Client First Name | 25-39 |
Client's First Name | M |
Self-explanatory |
| Client Date of Birth | 40-47 |
Client Date of Birth (CCYYMMDD) | M |
Self-explanatory |
| filler | 48 |
Blank | M |
Self-explanatory |
| File Date | 49-54 |
Match Run Month (CCYYMM) | M |
Feb-May-Aug-Nov |
| State Name | 55-56 |
Postal Abbreviation for the State | M |
Self-explanatory |
| State Optional Data | 57-116 |
Data for the sending state’s use, returned as sent. | O |
|
| Client Locator Code | 117-119 |
3 position location code that identifies Client Case File Residence (County/Local Office designator) | M |
Self-explanatory |
| Case Number | 120-129 |
Ten Position Case Number | M |
Self-explanatory |
| Contact Supported: Phone | 130 |
‘Y’ if contact by voice phone is supportedfor follow up purposes, else ‘N’ | M+ |
Type of contact to be used based on state requirement |
| Contact Supported: Fax | 131 |
‘Y’ if contact by fax machine is supported for follow up purposes, else ‘N’ | M+ |
Type of contact to be used based on state requirement |
| Contact Supported: E-mail | 132 |
‘Y’ if contact by e-mail is supported for follow up purposes, else ‘N’ | M+ |
Type of contact to be used based on state requirement |
| Contact Person Phone Number | 133-142 |
10 Digit Telephone Number of Contact Person for investigation purposes | M++ |
Central or county/region contact based 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 Attached 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 Adult | O |
*** SEE PAGE 5 FOR EXPLANATION OF ASTERICKS |
| Cash Last Paid Amount | 201-204 |
Last Monthly Amount Paid Under a Cash Program (Drop Cents) such as TANF, General Assistance, State Admin SSI, etc | O |
|
| FS Last Paid Amount | 205-208 |
Last Monthly Amount Paid Under Food Stamps | O |
|
| Last EBT Access Date | 209-216 |
Last Date EBT Benefits Were Accessed (CCYYMMDD) Could be Any Assistance Program | O |
|
| Fraud Indicator | 217 |
'Y' = Fraudulent Receipt of TANF Benefits, within Last Ten Years, Due to Misrepresentation of Residence | O |
Self-explanatory *** |
| Fugitive Felon Indicator | 218 |
'Y' = Current Fugitive Felon | O |
Self-explanatory *** |
| Probation and Parole Violation Indicator | 219 |
'Y' = Current Probation or Parole Violation | O |
Self-explanatory *** |
| Drug Related Felon Indicator | 220 |
'Y' = Drug Related Felon | O |
Self-explanatory *** |
| Address (Line 1) | 221-245 |
Client Address (street line 1) | M |
Self-explanatory |
| Address (Line 2) | 246-270 |
Client Address (street line 2, if needed) | M |
Self-explanatory |
| Address (City) | 271-285 |
Client Address | M |
Self-explanatory |
| Address (State) | 286-287 |
Client Address | M |
Self-explanatory |
| Address (Zip Code) | 288-296 |
Client Address | M |
Self-explanatory |
| Gender | 297 |
M = Male, F = Female, U = Unknown | M |
Self-explanatory |
| Marital Status | 298 |
M = Married, S = Single, W = widow/widower, D = Divorced, L = Separated, U = Unavailable or Unknown | O |
Self-explanatory |
| VA Match Request Code | 299 |
Y = Perform VA Match, N = No VA Match | M +++ |
Self-explanatory |
| State Match Request Code | 300 |
Y = Perform Interstate Match, N = No State Match | M +++ |
|
| FED Match Request Code | 301 |
Y = Perform Federal Data Match, N = No Fed Match | M +++ |
|
| Filler | 302-315 |
All Blanks (for future use) | M |
|
| TANF Indicator | 316 |
‘Y’ = Client Receives TANF Assistance or their Assets Count | O |
At least one of these must be |
| General Assistance Indicator | 317 |
‘Y’ = Client Receives GA or their Assets Count | O |
‘Y’ otherwise the individual |
| Food Stamp Indicator | 318 |
‘Y’ = Client Receives FS or their Assets Count | O |
should not be on the file. |
| SSI Indicator | 319 |
‘Y’ = Client Receives SSI or their Assets Count | O |
|
| Medicaid Indicator | 320 |
‘Y’ = Client on Medicaid or their Assets Count | O |
|
| Child Care Indicator | 321 |
‘Y’ = Client Receives Child Care Assistance | O |
|
| Worker’s Comp Indicator | 322 |
‘Y’ = Client Receives Worker’s Compensation | O |
|
| Filler | 323-329 |
All Blanks (for future use) | M |
|
| TANF Elig. Start Date | 330-337 |
TANF Client Eligibility Start Date (CCYYMMDD) | O * |
SEE PAGE 4 FOR EXPLANTION OF ASTERICKS |
| TANF Elig. End Date | 338-345 |
TANF Client Eligibility End Date (CCYYMMDD) | O ** |
|
| Medicaid Elig. Start Date | 346-353 |
Medicaid Client Eligibility Start Date (CCYYMMDD) | O * |
|
| Medicaid Elig. End Date | 354-361 |
Medicaid Client Eligibility End Date (CCYYMMDD) | O ** |
|
| Food Stamps Eligibility Start Date | 362-369 |
Food Stamps Client Eligibility Start Date (CCYYMMDD) | O * |
|
| Food Stamps Eligibility End Date | 370-377 |
Food Stamps Client Eligibility End Date (CCYYMMDD) | O ** |
|
| Gen. Assist. Eligibility Start Date | 378-385 |
GA Client Eligibility Start Date (CCYYMMDD) | O * |
|
| Gen. Assist. Eligibility End Date | 386-393 |
GA Client Eligibility End Date (CCYYMMDD) | O ** |
|
| SSI Elig. Start Date | 394-401 |
SSI Client Eligibility Start Date (CCYYMMDD) | O * |
|
| SSI Elig. End Date | 402-409 |
SSI Client Eligibility End Date (CCYYMMDD) | O ** |
|
| Child Care Elig Start Date | 410-417 |
Child Care Eligibility Start Date (CCYYMMDD) | O * |
|
| Child Care Elig End Date | 418-425 |
Child Care Eligibility End Date (CCYYMMDD) | O ** |
|
| Worker’s Comp Elig Start Date | 426-433 |
Worker’s Comp Eligibility Start Date (CCYYMMDD) | O * |
|
| Worker’s Comp Elig End Date | 434-441 |
Worker’s Comp Eligibility End Date (CCYYMMDD) | O ** |
|
| Worker’s Comp Pay Amount | 442-445 |
Worker’s Comp Payment Amount (holds up to 9999) | O |
|
MA Contact Person Information |
446-495 |
Used if MA is processed by a different State Agency than the one that processes FS & TANF (phone (‘ph:’),Fax (‘fx:’) and / or email address (‘em:’)) |
O |
Freeform as fits |
| Filler | 496-510 |
All blanks (for future use) | M |
* Enter the start date of the current eligibility period. At least one start date must be present.
** Enter the most recent date benefits were shown to have been terminated on your system. Leave blank only if data is not available.
*** Complete if information is available on your system.
+ At least one of the three contact types must be supported, more than one is acceptible
++ At least one of the three must be provided and it must agree with the contact type(s) supported
+++ At least one match type must be requested or the record will be droppedList of SSA SVES Verification Indicator Codes(Element Position 198):
- . or blank = record failed initial edits and did not make it into verification process
- V = verified
- X = verified but NUMIDENT indicates individual deceased
- 1 = SSN not on file
- 3 = surname matched but DOB did not match NUMIDENT
- 5 = surname does not match; DOB was checked
- F = verified but surname ignored
- M = verified via MBR or SSR (overlay of '1')
- P = verified via MBR or SSR (overlay of '3')
- R =November 20, 20082007li>Z = code when state submitted CAN instead of SSN, CAN OK, SSN not
- * = November 20, 20082007's are provided
