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MS 7475 (2)

E. Income.

1. Excluded income types that cannot be shown on the system. If it can be entered on the system, it is not necessary to comment.

2. If no income, how is the HH meeting basic needs?

3. If expenses exceed HH income, how long this situation has existed and how they are paying their bills/getting basic needs.

4. Wages.

a. If all paychecks in the prior 2 months were not used and the reason why.

Example: The individual’s work hours increased in the last month. Instead of using the prior 2 months’ wages, the last 2 paychecks were used, as they are representative of ongoing. Document that the work hours increased and only the paychecks reflecting the increase were used. This is a deviation from standard office procedures.

b. If income is terminated: last day worked, date of final pay, and if job quit disqualification has been explored.

5. Self-Employment.

a. Whether a household operating a self-employment enterprise in their home chooses to treat the utility expense as a business expense or a shelter expense. b. Explain if the tax return or personal records for the prior 12 months are not reflective of ongoing.

6. If child support from the prior 3 months is not used and the reason.

7. Unearned Income. Explain any income entered as “other”

F. Resources. For a non-CE or non-ECE HH, if resources are near the limit.

G. Shelter and Utilities. Document if telephone expense has been explored for households with no other utility expense

H. Child Support Deduction. If the prior 3 months of legally obligated child support payments are not used.

I. Medical Deduction.

1. When a medical deduction is not considered, enter a statement that a member who is eligible for medical deductions does not have any out-of- pocket medical expenses or chooses not to provide verification of the expenses.