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Page 1: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 2: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 3: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 4: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 5: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 6: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 7: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 8: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 9: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 10: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 11: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 12: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 13: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 14: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 15: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 16: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 17: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 18: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services
Page 19: Scanned Document · AppealsC'lerksOffice.Dl/S@tn.gov or by calling 1-866-787-8209. You can also fax a request to I -866-355-6136 or by mail to: Tennessee Department of Human Services

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