933.03 Required Verification (FAM)

SR 12-17 Dated 05/12

Previous Policy

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Require verification of gross monthly income at application and at each subsequent eligibility determination.

The individual must provide verifications according to the following table:

Type of Income

Acceptable Verifications

Earned income &

Unearned income

Third-party documentation, such as pay stubs, that indicates the type of income, the gross amount, frequency, and source of payment. *

Self-employment

*A profit and loss statement or the entire IRS tax filing of the previous calendar year, if filed.

Contributions

A signed and written statement from the contributor which indicates the gross amount and frequency of payment.

Exception: If a third party is unable or unwilling to provide verification, accept a signed and witnessed statement from the individual that indicates the type, gross amount, source, and frequency of the income.