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Required Requested Required Requested 1 Copy of Medicaid or Medicare card, documentation from U.S. Department of immigration and naturalization and/or INS temporary work permit.
17.3. Citizenship/Legal Residency Verification What are your procedures for ensuring LIHEAP recipients are U.S. citizens or qualified non-citizens who are eligible to receive LIHEAP benefits? Select all that apply.
Clients sign an attestation of citizenship or U.S. Citizen or Qualified Non-Citizen
Client's submission of certain Social Security Administration cards is accepted as proof of U.S. Citizen or Qualified Non-Citizen.
Non-Citizens must provide documentation of immigration status
Citizens must provide a copy of their birth certificate, naturalization papers, or passport
Non-Citizens are verified through the SAVE system
Tribal members are verified through Tribal enrollment records/Tribal ID card
Other - Describe:
17.4. Income Verification What methods does your agency utilize to verify household income? Select all that apply.
Require documentation of income for all adult household members
Pay stubs
Social Security award letters
Bank statements
Tax statements
Zero-income statements
Unemployment Insurance letters
Other - Describe:
*Food Stamp (SNAP) certification letter or printout dated within 12 months of application date for verification of Social Security benefits. *Verification of Employment *Self Certification as last resort
Computer data matches:
Income information matched against state computer system (e.g., SNAP, TANF)
Proof of unemployment benefits verified with state Department of Labor
Social Security income verified with SSA
Utilize state directory of new hires
Other - Describe:
b. Describe any exceptions to the above policies. All household members must provide a SSN with the Social Security card. Exceptions are made for any child born within the previous twelve months of application for which the SSA has not issued a SSN yet. 17.5 Identification Verification Describe what methods are used to verify the authenticity of identification documents provided by clients or household members. Select all that apply
Verify SSNs with Social Security Administration
Match SSNs with death records from Social Security Administration or state agency
Match SSNs with state eligibility/case management system (e.g., SNAP, TANF)
Match with state Department of Labor system
Match with state and/or federal corrections system Page 39 of 55