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Nevada Division of Welfare and Supportive Services Energy Assistance Program Manual 1. Name(s) 2. Document type(s) 3. Date(s) issued to the recipient 4. Document/Certificate and/or registration number (if applicable) 5. Dollar amount(s) (if applicable) 6. Date the information was viewed 7. Case manager’s name and title

IV. Other Verification – Client Statement/Self-Declaration Self-declaration is only acceptable when specifically allowed by policy or all reasonable steps to obtain hardcopy, collateral or visually viewed verification have been exhausted or it would create an undue hardship for the client if they are required to pursue other verification. Acceptance of this type of verification must be fully justified and documented in the EAP system. A client statement or the signed application may be used for proof of income when the client does odd jobs from various sources and is unable to obtain verification or if the third party who is asked to complete a form or provide a statement on behalf of the client, refuses to cooperate. This is known as third party non-cooperation. If the application is used, it must be signed no more than thirty (30) days prior to the application date or application review date and provide enough information to accurately project the household’s ongoing countable income. B. Evaluating Verification The case manager must evaluate the verification received to ensure that it: I. Meets the verification requirements for the program element. II. Does not conflict with other evidence, and if it does, the discrepancy is resolved and documented. III. Proves (either by itself or in combination with other evidence) the facts being verified. IV. Pertains to the household member(s) or other individuals to whom it is supposed to apply. V. Establishes the eligibility factor for the appropriate time period and benefit determination. C. Evaluating Previous Application Information The prior year application records in the EAP system must be reviewed to identify changes in status or inconsistencies with the current application. If a current application is incomplete, the electronic file may be a source of information that does not need to be re-verified. D. Questionable Information/Unclear Circumstances

When information is received that is questionable or conflicts with other information already in the file or statements made by the household, the case manager must resolve the discrepancy prior to approving the household for benefits. The household must be provided an opportunity to resolve any discrepancy by providing proof or designating a suitable collateral verification source for information. The case manager must document the resolution in the EAP system. MTL 01/24 June 25, 2024 - 7 - Section 200 – Application Processing