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ESA SNAP Policy Manual 191 All other SNAP households must complete a mid-certification. 15.4.1 Mid-Certification Report Form The mid-certification report form must request the household to report only the following changes: A change in the amount of unearned income if it is more than the current threshold for reporting changes in household income − Households are not required to report changes in the household’s cash assistance programs administered by ESA because ESA has this information. − The threshold for reporting changes in household income may be adjusted each October. See Table 25.3.f, Threshold for Required Reporting of Changes in Household Income for Mid-Certification Report, for the current threshold. A change in the source of income, including starting or stopping a job or changing jobs, if the change in employment resulted in a change of income A change in the amount of earned income of more than the current threshold for reporting changes in household income − The threshold for reporting changes in household income may be adjusted each October. See Table 25.3.f, Threshold for Required Reporting of Changes in Household Income for Mid-Certification Report, for the current threshold. All changes in household composition, such as the addition or loss of a household member Changes in residence and the resulting change in shelter costs Acquisition of a licensed vehicle that is not fully excludable Changes in a household member’s legal obligation to pay child support to a nonhousehold member Any reduction in work hours that brings a household member subject to the ABAWD work requirement and time limit below 20 hours a week, averaged monthly When a household member wins substantial lottery or gambling winnings with a cash prize from a single game that is at or over the current asset limit for elderly or disabled households, regardless of whether the household contains an elderly or disabled member (see Table 25.3.g, Asset Limits, for current amounts adjusted every October) If the household has a change in liquid assets, such as cash, stocks, bonds or bank accounts, that reach or exceed the asset limits (see Table 25.3.g, Asset Limits, for the current asset limits) The mid-certification form must: Be written in clear, simple language. Meet bilingual requirements. Specify the date by which ESA must receive the mid-certification form. Specify the consequences of submitting a late or incomplete mid-certification form, including whether ESA will delay benefits if the form is not received by the specified date. Return