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**INDICATOR NAME:** Family Violence Indicator

**SETTING CRITERIA:** [IV-D]{.underline} \--

Good Cause status (TANF)

IV-D discretion

[IV-D & Non IV-D]{.underline} \--

Self-report (Written for non IV-D)

**ELIGIBLE PEOPLE:** [Current]{.underline} \--

Case-level indicator

[Future]{.underline} \--

Participant-level indicator

**IMPACT:** Sends FV Indicator to the FCR

**DURATION:** Indefinite

**REMOVAL CRITERIA:** [Good Cause]{.underline} \--

End of Good Cause status

[Other Bases]{.underline} \--

Victim request (Written)

**OVERRIDE:** State-specific components not yet developed

The Domestic Violence section of the Nevada child support policy manual
appears below. The policy statement defines domestic violence, sets out
action to be taken when a person informs a IV-D worker of possible
violence, and outlines the types of protections afforded family violence
victims.

# Nevada Policy

**October 20, 1998**

212 DOMESTIC VIOLENCE

A. WHAT IS DOMESTIC VIOLENCE?

Domestic violence includes acts of physical violence (slapping,
punching, choking, etc.); threatening, coercive or harassing conduct;
interference with the personal liberty of the victim; or forcible entry
of the victim's residence against her will. A course of conduct intended
to harass, such as arson, trespassing, larceny, destruction of private
property, carrying concealed weapon without a permit and stalking may
also be considered as domestic violence.

B. PERIOD SCREENING BY WELFARE DIVISION

The Welfare Division is required to periodically evaluate
applicant\[s\]/recipients to identify victims of domestic violence.
Evaluation is the responsibility of IV-A caseworkers by having the
applicant/recipient review and sign Form 2678-EG (Exhibit 200-52) at
initial application and redetermination. All welfare, program area and
district attorney offices are requested to have brochures, posters and
other informational material relating to domestic violence and local
resources available (Exhibit 200-53) in their lobbies, restrooms,
training rooms, etc.

C. DISCLOSURE OF DOMESTIC VIOLENCE

Any disclosure of domestic violence is voluntary. A custodial parent may
disclose violence at any time, including but not limited to, during the
initial interview with the IV-A caseworker or during the child support
orientation when discussing good cause. If a custodial parent discloses
domestic violence to a IV-D caseworker, the IV-D caseworker must screen
to determine if the disclosure is a current or past domestic violence
situation and how the situation affects the custodial parent's ability
to participate in the child support program.

There are circumstances when requiring a family member to comply with
child support requirements may endanger or threaten the physical safety
of the household. If it is determined a member of the household would be
endangered, temporarily waiving participation in child support
activities may be necessary.

> The following guidelines are to be used when disclosure of domestic
> violence occurs:

+-----------------------------------+-----------------------------------+
| SITUATION                         | ACTION/RESPONSIBILITY             |
+===================================+===================================+
| Family currently experiencing     | **Public assistance case \--**    |
| physical abuse and/or is fleeing  | IV-D caseworker requests the      |
| from perpetrator.                 | custodial parent meet with a      |
|                                   | division social worker for an     |
|                                   | immediate assessment and          |
|                                   | potential referral/case           |
|                                   | management of a domestic violence |
|                                   | situation. Advise custodial       |
|                                   | parent of the Confidential        |
|                                   | Address Program (CAP)             |
|                                   | administered through the          |
|                                   | Secretary of State's office.      |
|                                   | Discuss good cause as an option   |
|                                   | (M.S. 204.2) for custodial        |
|                                   | parent.                           |
|                                   |                                   |
|                                   | **Nonpublic assistance case \--** |
|                                   | IV-D caseworker must provide      |
|                                   | custodial parent information on   |
|                                   | local domestic violence groups    |
|                                   | and community resources. Advise   |
|                                   | custodial parent of the           |
|                                   | Confidential Address Program      |
|                                   | (CAP) administered through the    |
|                                   | Secretary of State's office.      |
|                                   | Discuss whether request for child |
|                                   | support services should continue  |
|                                   | if perpetrator is the             |
|                                   | noncustodial parent.              |
+-----------------------------------+-----------------------------------+
| Claiming barriers to Employment & | Refer custodial parent to their   |
| Training or Welfare eligibility   | IV-A caseworker.                  |
| activities                        |                                   |
+-----------------------------------+-----------------------------------+
| Claiming "Good Cause" to not      | IV-D caseworker must follow       |
| cooperate with CSEP               | procedures in M.S. 204.2 for good |
|                                   | cause/cooperation.                |
+-----------------------------------+-----------------------------------+
| No immediate danger or barriers   | Inform custodial parent of their  |
|                                   | local domestic violence community |
|                                   | program.                          |
+-----------------------------------+-----------------------------------+

> Prior domestic violence occurrence may affect a custodial parent's
> current ability to cooperate with program requirements. Flexibility
> and sensitivity are required when working with domestic violence
> victims regarding program requirements. When the IV-D caseworker is
> unsure how to proceed with a past domestic violence case, the IV-D
> caseworker may consult with a social worker from the nearest Welfare
> District Office. The IV-D caseworker must explore alternative
> procedures to obtain information and documents including reasonable
> extending time limits if needed, and documenting the rationale used to
> make decisions.

D. CONFIDENTIALITY

The Welfare Division must not disclose to any person, other than the
victim, a determination has been made on domestic violence. However, the
Welfare Division may disclose the information to the Secretary of Health
and Human Services or their designee for purposes of including
information in the Federal Parent Locator Service (FPLS). Nevada's State
Case Registry (SCR) will extract information on both parents such as
name, Social Security Number, date of birth and case identification
number. This information will be transmitted to the Federal Case
Registry (FCR). The FCR is part of the FPLS and will contain basic
information about persons who owe or who are owed child support. This
information will be shared with other state child support agencies with
the case.

If the IV-D caseworker is made aware of domestic violence in a family,
the information provided to the FCR on the family may be kept
confidential by the IV-D caseworker using the family violence indicator.
When the family violence indicator is set, other agencies involved with
the case will not have access to information on custodial parent and
child(ren) involved.

Information concerning individuals contained in support enforcement
cases will NOT be disclosed to anyone not directly involved in the
administration of the program (45 CFR 303.212 Safeguarding Information).

The Uniform Interstate Family Support Act of 1996 (UIFSA) requires
identifying information about the custodial parent and child (name,
address, social security number, etc.) be provided to the out-of-state
child support office assisting Nevada in the establishment of paternity
or the collection of child support. Before sending a UIFSA transmittal,
contact the custodial parent to determine if there is a concern with
address disclosure.

NRS 130.312 provided for confidentiality in instances where there is a
serious risk of domestic violence or child abduction. A tribunal can
order the address of the child or party to other identifying information
not be disclosed if the health, safety or liberty of a part\[y\] or
child would be unreasonably put at risk.

When a caseworker receives a request for information on a noncustodial
parent or custodial parent, the caseworker must:

1\. Identify the individual(s) and purpose for the information.

2\. Determine type of information being requested.

> a\. If the request is for identifying information such as name,
> address, Social Security Number, case or IRS intercept information,
> deny the request.
>
> b\. If the request is for any type of court documents, release only
> the docket number and refer the individual to the appropriate county
> clerk's office. Certain court documents such as orders, bench
> warrants, etc., are classified as public records and available to the
> public.
>
> \* \* \*

Below is a statement given to each person who informs the Nevada IV-D
agency that there may be a safety concern involving another person who
has a role in his/her child support case.

NEVADA STATE WELFARE DIVISION SUPPORT ENFORCEMENT MANUAL

MTL 7/98 17 Aug 98

## EXHIBIT 200-56

Case Name SSN

### NEVADA STATE WELFARE DIVISION

**DOMESTIC VIOLENCE AWARENESS**

Domestic violence is defined as verbal, sexual, emotional, psychological
and/or physical abuse between or among family members or intimate
partners. Domestic violence is a problem, both in Nevada and the United
States.

A *batterer* may be a person who:

-   is very jealous\[.\]

-   has an explosive temper\[.\]

-   is controlling of their partner's behavior\[.\]

-   has thrown things at their partner\[.\]

A *battered* person may be someone who:

-   is frightened of their partner's temper\[.\]

-   has been hit, kicked or shoved when their partner is jealous or
    angry\[.\]

-   makes decisions about activities and friends out of fear of their
    partner's reaction\[.\]

If you or someone you know is in a domestic violence situation, help is
available. There are people in your community who provide support and
assistance.

To receive Temporary Assistance for Needy Families (TANF), you are
required to cooperate with the employment and training program (known as
NEON, New Employees of Nevada)\[,\] unless otherwise exempt\[,\] and
\[with\] the Child Support Enforcement program. If you believe
participating in these programs may put you or your family at risk of
abuse, your worker may temporarily excuse you from such activities while
you work through the domestic violence issues with the professionals in
your community.

Any disclosure of domestic violence is directly VOLUNTARY. The purpose
of this notice is to inform you about domestic violence and let you know
there is community support to help you with this situation.

Disclosure of domestic violence remains CONFIDENTIAL. However, as
required by law, if there are children being abused, a report will be
made to a child protective services agency.

I have read and understand the above Date

Case Manager's signature Date

**DOMESTIC VIOLENCE STATEWIDE HOTLINE**

**1-800-500-1556**

DISTRIBUTION: WHITE - Client; CANARY - TANF Casefile 2678- EG (10/97)

The court form below is used to gather information for the Nevada State
Case Registry. It seeks information about whether domestic violence is a
problem for the person completing the form or for his/her children. That
portion of the form is highlighted on page 1.

CASE NO.

DEPT. NO.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_)

)

vs. )

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_)

CUSTODIAN

Name:

(First) (Middle) (Last)

Residential Address: Apt.#

Mailing Address: Apt.#

City: State: Zip: Telephone Number [( )]{.underline}

Social Security Number - - Date of Birth:

Driver's License #: State

Are you employed? Yes No

Name of Employer:

Business Address:

City: State: Zip: Employer Telephone Number [( )]{.underline}

Ethnicity: Caucasian Hispanic American Indian/Alaskan Native

African American Asian or Pacific Islander Other

NON-CUSTODIAN PARENT

Name:

(First) (Middle) (Last)

Residential Address: Apt.#

Mailing Address: Apt.#

City: State: Zip: Telephone Number [( )]{.underline}

Social Security Number - - Date of Birth:

Driver's License #: State

Are you employed? Yes No

Name of Employer:

Business Address:

City: State: Zip: Employer Telephone Number [( )]{.underline}

Ethnicity: Caucasian Hispanic American Indian/Alaskan Native

African American Asian or Pacific Islander Other

CHILD(REN) INVOLVED IN THIS CASE

Name: SSN: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_/ DOB:
\_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

Name: SSN: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_/ DOB:
\_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

Name: SSN: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_/ DOB:
\_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

Name: SSN: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_/ DOB:
\_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

Name: SSN: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_/ DOB:
\_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

If more than 5 children qualify, list their names on a separate sheet of
paper and attach.

**Does this case involve domestic violence against you and/or the
child(ren)?** **Yes** **No**

Have you requested child support enforcement services from the district
attorney's office Yes No

(IV-D Services)?

> Signature Date

***PLEASE SEE REVERSE SIDE*** (Draft) (Side 1 of 2) Sep/supinfo

Within ten (10) days after a Nevada court issues a child support order,
each party listed in the order must file the following information with
the court that issued the order and the Welfare Division:

1\. Social Security Number;

2\. Residential and mailing address;

3\. Telephone number;

4\. Driver's License number; and

5\. Name, address and telephone number of employer.

Each party shall update the information filed with the court and the
Welfare Division within ten (10) days after the information become\[s\]
inaccurate. Information directed to the Welfare Division should be
mailed to:

Nevada State Welfare Division

Child Support Enforcement

3120 East Desert Inn Road

Las Vegas, Nevada 89121-3302

Nevada State Welfare Division

Child Support Enforcement

350 South Center Street, Ste. 260

Reno, Nevada 89512-2118

Nevada State Welfare Division

Child Support Enforcement

850 Elm Street

Elko, Nevada 89801-3349

This requirement can be found in Nevada Revised Statutes 125B.055.

(Draft) (Side 2 of 2) Sep/supinfo

*The Nevada "Case Status" screen includes a family violence data field.
The field, set in **bold** below, is titled "Good Cause;" however, as
the attached codes indicate, it can be used for both TANF and non TANF
situations.*

XXXXXX XXXX CASE STATUS XXXXXXX XX/XX/XX

XXXX XXXX XXXXXXX XX:XX

APPL RQSTD DT X X XXXX APPL PRVD DT X X XXXX APPL RECD DT X X XXXX

CASE TYPE N STATUS P EFF X X XXXX LEVEL OF SERVICE F

FNCT AREA E EFF X X XXXX NCP STATUS EFF X X XXXX SYST INIT X X XXXX

CLOSURE REASON EFF

SUSP BILLING? SUSP DISTRIB? SUSP DISBURS? Y REASON LC SUSP IRS

OVERRIDE OOS BILLING SUSP? ADDR MATCH? N IRS FULL SRVC RQST EFF

CONTINUED SERVICES RESPONSE?

COOP EFF **GOOD CAUSE BASIS** DETERMINATON

IV-D OFFICE/WORKER (CST) XX XXXXXXX TRANSFER TO

IV-D OFFICE/WORKER (NCP) XX XXXXXXX TRANSFER TO

OOS CASE IND (Y/N/B) N CONVERTED CASE

CASE REVIEW DATE REASON

XX XXXXX NCP XXX XX XXXX JOHN DOE ACT

MTH XX XX CST XXX XX XXXX JANE DOE SCRN

XXXXXX XXXX

XXXX XXXX

APPL RQSTD DT 4

CASE TYPE N STAT

FNCT AREA E EFF

CLOSURE REASON

SUSP BILLING?

OVERRIDE XXX BILL

CONTINUED SERVICE

COOP EFF

IV-D OFFICE WORKER

IV-D OFFICE/WORKER 9NCP0 16 XXXXXXX TRANSFER TO

XXX CASE IND (Y/N/B) N CONVERTED CASE

CASE REVIEW DATE REASON

XX XXXXX NCP XXX XX XXXX JOHN DOE ACT

MTH XX XX CST XXX XX XXXX JANE DOE SCRN