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ESA SNAP Policy Manual 41 Self-employment income from child or dependent care:  Statement from the person receiving the service  Written statement from the worker who authorizes payment for the service  Bills or statements from the provider listing the cost of care, the period for which the care was provided and the nature of the care Rental and room and board income:  Written statement from the boarder or renter  Accounting or other business records  Lease or contract  Rent receipt book  Request for rental information statement if the boarder or renter receives public assistance 5.2.2 Unearned Income Gross nonexempt unearned income must be verified for all households prior to certification. Common types of unearned income can be verified using information available to ESA through data matches or case records. Verification of the following unearned income should not be requested from the household unless the information is questionable.  ESA-administered cash assistance programs such as TANF; Program on Work, Employment and Responsibility (POWER); General Assistance for Children (GC); Interim Disability Assistance (IDA); and Refugee Cash Assistance (RCA)  DOES unemployment compensation benefits  SSA benefits such as federal retirement, survivors, disability, SSI, Social Security Disability Insurance (SSDI) and related SSA benefits If unearned income must be verified by the household, verification may be in the form of the following:  Documents (such as award notice)  Written statements from persons with knowledge of the household’s income (such as the agency issuing benefits) Most types of unearned income may be verified by a written statement from the agency, organization or person administering the payment. The verification must confirm the following:  The gross benefit amount and frequency of the benefit payment to the household (e.g. monthly)  Amount of any deductions from the benefit amount and whether the deductions are mandatory

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