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53 | P a g e October 25 3.18 Verifications RESPONSIBILITY – It is the responsibility of the applicant to provide verification of earned income, unearned income (unless already verified in the file), income exclusions, negotiable resources, citizenship, or lawful permanent residency, or qualified alien status proof of primary fuel type and obligation for energy costs. Unearned income must be entered for all members of the household, regardless of age, even for SSI categorically eligible cases. EARNED INCOME: Verification Information Generally Available from the Applicant or Recipient • Pay stubs. • Pay envelopes. • Employee’s W-2 forms • Income tax returns-state/federal • Self-employment bookkeeping records or the most recently filed Income tax return (within the last 12-18 months) • Sales and expenditure records Verification Information from Other Sources • Employer’s wage/payroll records • State form for clearance of earnings for employment • Employment Security Office • Occupation Tax Sub-grantee • State Income Tax Bureau – Department of Revenue (DOR) • Tax statements: Federal and state • LIHEAP/CHIMES Inquiry • MUSE (Wage and UI Inquiry) • State Compensation Insurance Fund UNEARNED INCOME: Verification Information Generally Available from the Applicant or Recipient • RSDI Benefit Check • RSDI Award Letter • Correspondence on SSA Benefits. • Educational grant or scholarship award letter • Unemployment Compensation Award letter • Pension Award Notice • Veteran's Administration Award Notice