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EAP Policy Manual FFY24 Chapter 3 Program Eligibility Requirements Page 29 Income Verification Qualified Eligibility Households with any of the following sources of income and no other income are eligible at the lowest level of income under the state median income guidelines. They are not required to complete a Verification of Income and Expenses Form. • Diversionary Work Program (DWP). • General Assistance. • MFIP (Minnesota Family Investment Program). • SSI (Supplemental Security Income). Earned Income Documentation The following are acceptable forms of documentation of household employment income in the following priority order: pay stubs/wage printouts, employer letter, or signed statement. If a household member’s signed statement is used to document earned income, detail in eHEAT why the employer’s records/letter are not obtainable. • Consecutively dated pay stubs for the one month prior to the date the application is signed. • First and last pay stubs for the one month prior to the date the application is signed when year-to-date wages are included on the pay stub. (The Pay Period / Pay Date Scenarios may apply.) • A signed and dated letter from the employer on letterhead stating the employee’s gross wages for the one month prior to the date the application is signed. • A signed statement documenting income. The household member whose income is unattainable from the employer must sign the statement. Pay Period / Pay Date Scenarios General guidance 1. If there are checks for each of the pay dates in the one month period, use the pay date. 2. If there are not checks for each of the pay dates in the one month period, determine if there are pay period end dates for each check within the one month period. If there are, use the pay period end date. 3. If neither of the two scenarios above is applicable, request additional checks with the applicable pay date(s).