Income Inclusion/Income Documentation
Type of Income
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Examples of acceptable documentation
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Wages & Salary (initial/recertification)
Written 3rd
Party, Oral 3rd
Party, Self-declaration
& brief explanation
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Payment Statement, statement of income from employer/source
income
|
Self-employment & Business Income
(initial/recertification)
Written 3rd Party, Self-declaration & brief explanation
|
Most recent financial statement
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Interest & Dividend Income (initial/recertification)
Written 3rd Party, Self-declaration & brief explanation
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Most recent interest
or dividend income statement
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Pension/Retirement Income (initial/recertification)
Written 3rd Party, Oral 3rd Party, Self-declaration & brief explanation
|
Most recent benefit notice, pension statement or other
payment statement from pension provider
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Unemployment & Disability income (initial/recertification)
Written 3rd Party, Oral 3rd Party, Self-declaration & brief explanation
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Most recent benefit or disability income notice from SSI,
statement from SSI
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TANF/Public Assistance
(initial/recertification)
Written 3rd Party, Oral 3rd Party, Self-declaration & brief explanation
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Most recent benefit or income
notice or statement from public assistance administrator
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Alimony, Child Support & Foster Care Income
(initial/recertification)
Written 3rd Party, Oral 3rd Party , Self-declaration & brief explanation
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Court Order
Cancelled checks
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Armed Forces Income (initial/recertification)
Written 3rd Party, Oral 3rd Party, Self-declaration & brief explanation
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Payment statement
Statement of income from government official/agency
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No Income (initial/recertification)
Self-declaration & brief explanation
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