<p>PARIS Interstate Output Record Format (Effective in December 2008) Note: If the option/mandatory column is followed by one or more “+” or a “*”, the bottom of this webpage provides for further explanation.</p><p>Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Client's Social Security Client SSN 1-9 M Self-explanatory Number</p><p>Client 10-24 Client's Last Name M Self-explanatory Surname</p><p>Client First 25-39 Client's First Name M Self-explanatory Name</p><p>Client Date Client Date of Birth 40-47 M Self-explanatory of Birth (CCYYMMDD)</p><p> filler 48 Blank M Self-explanatory</p><p>Match Run Month Feb-May-Aug- File Date 49-54 M (CCYYMM) Nov</p><p>Postal Abbreviation for the State Name 55-56 M Self-explanatory State Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>State Data for the sending state’s Optional 57-116 O use, returned as sent. Data</p><p>3 position location code that Client identifies Client Case File Locator 117-119 M Self-explanatory Residence (County/Local Code Office designator)</p><p>Case 120-129 Ten Position Case Number M Self-explanatory Number</p><p>Type of contact Contact ‘Y’ if contact by voice phone to be used based Supported: 130 is supported for follow up M+ on state Phone purposes, else ‘N’ requirement</p><p>Type of contact Contact ‘Y’ if contact by fax machine to be used based Supported: 131 is supported for follow up M+ on state Fax purposes, else ‘N’ requirement</p><p>Type of contact Contact ‘Y’ if contact by e-mail is to be used based Supported: 132 supported for follow up M+ on state E-mail purposes, else ‘N’ requirement</p><p>Contact 133-142 10 Digit Telephone Number of M++ Central or Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Person county/region Contact Person for Phone contact based on investigation purposes Number state requirement</p><p>Contact up to 5 Digit Telephone Person Fill with Number extension of Contact Phone 143-147 O++ SPACES if not Person for investigation Number needed purposes (if needed) Extension</p><p>Contact Fax Number for Contact Person Fax 148-157 M++ Person Number</p><p>Contact Person Email Address of State 158-197 M++ Email Contact Person Address</p><p>SSN See bottom of this document Whether the SSN Verification 198 for a list of SSA SVES M has been verified Indicator Verification Indicator Codes by SSA</p><p>TANF Number of Countable Months Months 199-200 Client has received TANF O *** Eligibility Benefits as an Adult Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Last Monthly Amount Paid Cash Last Under a Cash Program (Drop Paid 201-204 Cents) such as TANF, General O Amount Assistance, State Admin SSI, etc</p><p>FS Last Last Monthly Amount Paid Paid 205-208 O Under Food Stamps Amount</p><p>Last Date EBT Benefits Were Last EBT Accessed (CCYYMMDD) Access 209-216 O Could be Any Assistance Date Program</p><p>'Y' = Fraudulent Receipt of TANF Benefits, within Last Fraud Self-explanatory 217 Ten Years, Due to O Indicator *** Misrepresentation of Residence</p><p>Fugitive Self-explanatory Felon 218 'Y' = Current Fugitive Felon O *** Indicator</p><p>Probation and Parole 'Y' = Current Probation or Self-explanatory 219 O Violation Parole Violation *** Indicator Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Drug Related Self-explanatory 220 'Y' = Drug Related Felon O Felon *** Indicator</p><p>Address 221-245 Client Address (street line 1) M Self-explanatory (Line 1)</p><p>Address Client Address (street line 2, if 246-270 M Self-explanatory (Line 2) needed)</p><p>Address 271-285 Client Address M Self-explanatory (City)</p><p>Address 286-287 Client Address M Self-explanatory (State)</p><p>Address 288-296 Client Address M Self-explanatory (Zip Code)</p><p>M = Male, F = Female, U = Gender 297 M Self-explanatory Unknown Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>M = Married, S = Single, W = Marital widow/widower, D = 298 O Self-explanatory Status Divorced, L = Separated, U = Unavailable or Unknown</p><p>VA Match Y = Perform VA Match, N = Request 299 M +++ Self-explanatory No VA Match Code</p><p>State Match Y = Perform Interstate Match, Request 300 M +++ N = No State Match Code</p><p>FED Match Y = Perform Federal Data Request 301 M +++ Match, N = No Fed Match Code</p><p>Filler 302-315 All Blanks (for future use) M</p><p>At least one of ‘Y’ = Client Receives TANF these must be ‘Y’ TANF 316 Assistance or their Assets O otherwise the Indicator Count individual should not be on the file.</p><p>General 317 ‘Y’ = Client Receives GA or O At least one of Assistance their Assets Count these must be ‘Y’ Indicator otherwise the Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p> individual should not be on the file.</p><p>At least one of these must be ‘Y’ Food Stamp ‘Y’ = Client Receives FS or 318 O otherwise the Indicator their Assets Count individual should not be on the file.</p><p>At least one of these must be ‘Y’ SSI ‘Y’ = Client Receives SSI or 319 O otherwise the Indicator their Assets Count individual should not be on the file.</p><p>At least one of these must be ‘Y’ Medicaid ‘Y’ = Client on Medicaid or 320 O otherwise the Indicator their Assets Count individual should not be on the file.</p><p>‘C’ = Record is for Child Receiving Child Assistance ‘P’ = Record is for Parent Child Care 321 Receiving Child Care O Indicator Assistance ‘R’ = Record is for a Child Care Provider</p><p>Worker’s 322 ‘Y’ = Client Receives O At least one of Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p> these must be ‘Y’ Comp otherwise the Worker’s Compensation Indicator individual should not be on the file.</p><p>Filler 323-329 All Blanks (for future use) M</p><p>TANF Elig. TANF Client Eligibility Start 330-337 O * Start Date Date (CCYYMMDD)</p><p>TANF Elig. TANF Client Eligibility End 338-345 O ** End Date Date (CCYYMMDD)</p><p>Medicaid Medicaid Client Eligibility Elig. Start 346-353 O * Start Date (CCYYMMDD) Date</p><p>Medicaid Medicaid Client Eligibility Elig. End 354-361 O ** End Date (CCYYMMDD) Date</p><p>Food Stamps Food Stamps Client Eligibility 362-369 O * Eligibility Start Date (CCYYMMDD) Start Date Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Food Stamps Food Stamps Client Eligibility 370-377 O ** Eligibility End Date (CCYYMMDD) End Date</p><p>Gen. Assist. GA Client Eligibility Start Eligibility 378-385 O * Date (CCYYMMDD) Start Date</p><p>Gen. Assist. GA Client Eligibility End Date Eligibility 386-393 O ** (CCYYMMDD) End Date</p><p>SSI Elig. SSI Client Eligibility Start 394-401 O * Start Date Date (CCYYMMDD)</p><p>SSI Elig. SSI Client Eligibility End Date 402-409 O ** End Date (CCYYMMDD)</p><p>Child Care Child Care Eligibility Start Elig Start 410-417 O * Date (CCYYMMDD) Date</p><p>Child Care Child Care Eligibility End Elig End 418-425 O ** Date (CCYYMMDD) Date Record Element Element Optional Element Definition Description/Definition Mandatory Name Position</p><p>Worker’s Worker’s Comp Eligibility Comp Elig 426-433 O * Start Date (CCYYMMDD) Start Date</p><p>Worker’s Worker’s Comp Eligibility Comp Elig 434-441 O ** End Date (CCYYMMDD) End Date</p><p>Worker’s Worker’s Comp Payment Comp Pay 442-445 O Amount (holds up to 9999) Amount</p><p>Used if MA is processed by a MA different State Agency than the Contact 446-495 one that processes FS & TANF O Freeform as fits Person (phone (‘ph:’),Fax (‘fx:’) and / Information or email address (‘em:’))</p><p>Filler 496-510 All blanks (for future use) M</p><p>* 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.</p><p>+ At least one of the three contact types must be supported, more than one is acceptable ++ 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 dropped </p><p>List of SSA SVES Verification Indicator Codes (Element Position 198): Note: States are requested to only submit verified SSNs; the preferred entry for verified SSNs is "V". Depending on the State's programming capabilities, the following options may be utilized:  . or blank = record failed initial edits and did not make it into verification process  V = verified (preferred)  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 = SSN verified via MBR or SSR rather than NUMIDENT (overlay of '5')  Z = verification code when state submitted CAN instead of SSN; CAN OK, SSN not verified  * = SSN not verified</p>