If a person wants to file a written request, they may sign Request for Status Review (Form 2826)
Example 1: A TANF recipient was sexually assaulted two years ago by a man she did not know. She has been employed for the last year, working at least 30 hours a week. Her employer moved to a location close to where the perpetrator lives. The recipient was fearful that her assailant would see her and experienced anxiety attacks, affecting her performance and causing her to lose her job. She requests a Family Violence Exclusion while receiving medical and psychological help to recover from her anxiety attacks.
Example 2: An adult and her two children are domestic violence survivors. All are receiving counseling from a domestic violence service provider. The adult must pick up each of her children from school and take them to counseling sessions. The victim services organization is a significant distance from their home and the children's school. Because the children are of different ages, they are scheduled for counseling on different days of the week. This schedule interferes with the adult's ability to participate in work and training activities for 30 hours per week. She requests a Family Violence Exclusion for as long as the children are in counseling.