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Essential Worker Employment Verification

We are excited to announce that the State of Tennessee has extended grant funding for families of essential workers through the beginning of 2021. Here is a list for qualifying essential worker positions in Tennessee.

If you previously qualified for free care as an essential worker in 2020, you will qualify for free care in 2021! No further action needed.
If you have already provided your proof of employment and residency during the registration process for 2021, you do not have to complete this form.

NOTE: This form is for Essential Workers that HAVE NOT provided their proof of employment and residency.