Page 3

2 2. Proof of Income (Family) .......................................................................................................... 25 3. Federal 1040 Tax Form – (Total Income)..................................................................................... 25 4. Schedule C Form 1040 – (Gross Income) ................................................................................... 25 5. New Employment or Temporary Agency Employment ...................... Error! Bookmark not defined. 6. Paid in Cash ............................................................................................................................ 25 7. Paid by Personal Check ............................................................................................................ 26 8. Self-Employed with Filed Tax Return ......................................................................................... 26 9. Self-Employed, New Business .................................................................................................. 26 10. Teen parent(s) must submit valid ID for identification. ........................................................... 26 11. Wage Verification Form ........................................................................................................ 26 Rule 5.4 How Income is Calculated ....................................................................................................... 27 1. Calculating Income .................................................................................................................. 27 2. Countable Income ................................................................................................................... 27 3. Non-Countable Income............................................................................................................ 28 Rule 5.5 Proof of Work/Education or Training (Parent/Applicant) ............................................................. 29 Proof of Work ................................................................................................................................... 29 Proof of Education/Job Training ......................................................................................................... 29 Combination of Employment and School ........................................................................................... 30 Rule 5.6 Proof of Relationship or Guardianship ...................................................................................... 30 Rule 5.7 Proof of State Residency (Parent/Applicant) .............................................................................. 31 Rule 5.8 Proof of Identity (Parent) .......................................................................................................... 32 Rule 5.9 Proof of Special Needs/Disability (Child and/or Parent, if applicable) ......................................... 32 Rule 5.10 Teen Parent Eligibility Requirements ....................................................................................... 33 Rule 5.11 Proof of Meeting the Definition of Protective Services .............................................................. 33 Rule 5.12 Reasons for Ineligibility .......................................................................................................... 33 Rule 5.13 Eligibility Period ..................................................................................................................... 34 Rule 5.14 Reporting Requirements ........................................................................................................ 34 Rule 5.15 Redetermination of Eligibility .................................................................................................. 36 Rule 5.15 Termination Reasons During Redetermination Process ............................................................ 37 Underutilization of Child Care Certificate .......................................................................................... 37 Rule 5.16 Reasons for Certificate Termination ........................................................................................ 37 Chapter 6: Billing and Financials ....................................................................................... 39 Rule 6.1 Registration/Activity Fee .......................................................................................................... 39 Rule 6.2 Co-Payment Fee...................................................................................................................... 39 Determining Who Pays a Co-Payment Fee ......................................................................................... 39