Type of Income

Examples of acceptable documentation

Wages & Salary (initial/recertification)

 Written 3^rd Party,  Oral 3^rd Party, Self-declaration & brief explanation

Payment Statement, statement of income from employer/source income

Self-employment & Business Income (initial/recertification)

 Written 3^rd Party,  Self-declaration & brief explanation

Most recent financial statement

Interest & Dividend Income (initial/recertification)

 Written 3^rd Party,  Self-declaration & brief explanation

Most recent interest  or dividend income statement

Pension/Retirement Income (initial/recertification)

 Written 3^rd Party,  Oral 3^rd Party,  Self-declaration & brief explanation

Most recent benefit notice, pension statement or other payment statement from pension provider

Unemployment & Disability income (initial/recertification)

 Written 3^rd Party,  Oral 3^rd Party,  Self-declaration & brief explanation

Most recent benefit or disability income notice from SSI, statement from SSI

TANF/Public Assistance (initial/recertification)     

 Written 3^rd Party,  Oral 3^rd Party,  Self-declaration & brief explanation

Most recent benefit or income notice or statement from public assistance administrator

Alimony, Child Support & Foster Care Income (initial/recertification)

 Written 3^rd Party,  Oral 3^rd Party , Self-declaration & brief explanation

Court Order

Cancelled checks

Armed Forces Income (initial/recertification)

 Written 3^rd Party,  Oral 3^rd Party,  Self-declaration & brief explanation

Payment statement

Statement of income from government official/agency

No Income (initial/recertification)

 Self-declaration & brief explanation