Verification Docs

Property Verification

Examples of property and resource verification include, but are not limited to the following:

Vehicle registration;

Proof of loans or debts/liens on property;

Statement of joint ownership;

Mortgage bill(s);

Property deed;

Bank statements, bank deposits, bank withdrawals;

Life insurance policy, stocks, bonds, IRAs;

Most recent retirement account statement(s);

Sponsor statement form;

Settlements, such as lawsuits and insurance claims;

Burial plots/crypts; and

Affidavits.

Affidavit

When no verification exists or cannot be obtained, a sworn statement shall be considered adequate, except for verification of citizenship or alienage status and/or medical verification of pregnancy.

Although the SAWS 2 PLUS and SAR 7 reports do not normally suffice as an affidavit, if those documents indicate that verification does not exist or cannot be obtained but does not impact eligibility (for example, a declaration of no property or property within the resource limit), Eligibility staff must consider these signed forms as a complete affidavit.

Good Faith

“Good faith” effort is defined as when the applicant/participant has attempted to comply within the limits of their resources.

The applicant/participant must be notified in writing of the requirement that they must make a “good faith” effort to obtain the necessary verifications and that the County may assist the applicant/participant if they so choose.

The CW 2200 Request for Verification , informs applicants/participants of their responsibilities, requirements, and rights regarding verifying their eligibility for benefits.

If the applicant/participant asks for help getting proof and an authorization to release is needed, there are different release of information forms required for different types of information, including, but not limited to the ABCDM 228 Applicant’s Authorization for Release of Information, the CW 60 Release of Information – Financial Institution, and the CW 61 Authorization to Release Medical Information.

A current ABCDM 228, Applicant’s Authorization for Release of Information, must be on file to submit an inquiry to the PSU.

See Examples Section for additional information.

Reapplication/Restoration

When a participant reapplies for aid within one year from the effective date of discontinuance, and the required verification is either not easily accessible, has a cost, or may delay the processing of the application. Eligibility staff must review the prior case record to determine if the required verifications in the possession of the County. If the required verification is in the case file, Eligibility staff may not require the participant to resubmit. Applicants must be informed of these provisions in writing at the time of the application.

Restricted Account Withdrawal

Withdrawals must be spent within 30 calendar days from the date of the withdrawal. If the amount withdrawn is less than the expense, the participant must redeposit the money to the restricted account within 30 calendar days of withdrawal.

Within 30 calendar days of spending the withdrawn funds, the participant must provide:

The account balance before the withdrawal;

The date and amount of the withdrawal; and

The receipt (check or provider’s signed statement) verifying the amount withdrawn and the type of goods provided.

If the participant does not spend the withdrawn money for the appropriate purpose within the 30 calendar-day period, or provide verification of the expenditure, the withdrawal is NOT allowed unless “Good Cause” exists. See the Good Cause Section for further information.

Examples of Proof

Allowable Purpose Examples of Proof For the purchase of a home to live in Deposits, fees, down payment, and principal payment; Closing costs; or Repairs and fixtures. Note: Allowable expenses do not include the purchase of furniture or household goods. Education or job training Fees, tuition, books, and school supplies; Equipment and special clothing needs; Student housing and meals; Cost of transportation to and from; School/vocational training; and/or Child care services needed to attend school. Starting a new business Purchase, repair, and upkeep of business equipment; Tools, uniforms or other protective or required clothing and shoes; Payment on loan principal and interest for business assets or durable goods; Rent and utility payments for office or floor space; Employee salaries; Inventory, shipping, and delivery costs; and/or Business fees, taxes, insurance, bookkeeping, or other professional services. Note: Allowable expenses do not include personal expenses, such as entertainment.

QDEs

Examples of acceptable documents.

Allowable Purpose Examples of Proof Education Fees, tuition, books, and school supplies; Equipment and special clothing needs; Student housing and meals; Cost of transportation to and from school; School/vocational training; and/or Child care services needed to attend school. Housing Deposits, fees, down payment, and principal payment; Closing costs; or Repairs and fixtures. Transportation Receipts from the use of mass transit; Purchase or modification of vehicles; or Receipts from moving expenses. Employment training and support Expenses related to obtaining and maintaining employment; or Job related training. Assistive technology and personal support services Expenses for technology devices and personal support that help people with disabilities carry out daily activities. Health Premiums for health insurance; Mental health, medical, vision, and dental expenses; Habilitation and rehabilitation services; Medical equipment; Therapy; Respite care; Long-term services and devices; Nutritional management; Communication services and devises; Adaptive equipment; or Personal Assistance. Financial management and administrative services Bank Statements. Legal services Fees related to legal services. Funeral and burial expense, and other expenses Burial plot; or Coffin

Verification of Disability

Adults

The following types of verifications can be received:

An award letter or pay stubs that the participant receives Old Age Survivors and Disability Insurance, SSI/SSP, Workers’ Compensation, or State Disability Income benefits based on the parent’s disability (physical/mental) or blindness; or

CW 61, Medical Report or other written statement from a physician, licensed/certified psychologist, or an authorized member of their staff with access to the patient’s medical records.

Children

The following types of verification can be received:

An SSI/SSP award letter;

A statement from the Regional Center;

An approved copy of the child’s IEP or Section 504 Plan; or

An independent verification of a current or past disability by a health care provider or a trained, qualified learning disabilities evaluation professional.