Page 50

DEO LIHEAP Policies and Procedures Manual Page 50

5. Award letter from SSD: (a.) When a check is used to verify the social security benefit amount, care must be taken to add the Medicare premium amount to the amount of the check if the individual has Medicare coverage and is not an SSI recipient. 6. Court records 7. Local subrecipient records 8. Divorce or separation papers or contact with the Clerk of the Court 9. For applicants or any members of their household receiving Supplemental Nutrition Assistance Program (SNAP) or Supplemental Security Income (SSI), or Temporary Assistance for Needy Families (TANF) program will not be subject to income eligibility as these clients will be considered as categorically eligible or automatically qualified. 10. A written statement from the source of a regularly received cash contribution. 11. Applicant’s statement, WHEN NO OTHER VERIFICATION CAN BE OBTAINED. (a.) All other possible verification sources must be exhausted before accepting a self-declaration statement. Document all attempts to verify and why the applicant’s statement is being allowed. (b.) The statement must be signed by the applicant. (c.) The statement does not need to be notarized. If the subrecipient chooses to have the statements notarized, it must be done at no expense or additional hardship to the applicant. (d.) An applicant cannot be denied for the reasons listed on the statement. (e.) If the applicant and/or household members do not receive food stamps, they must also provide a statement on how they are meeting basic living expenses such as food, housing and transportation. See #13 on the next page. 12. Self-Employment Documentation: When calculating self-employment income, the applicant may deduct any business expenses. Gross income minus business expenses equals’ countable income. Acceptable verification for self-employment includes, but is not limited to: (a.) IRS Form 1099,