Page 45

Nevada Division of Welfare and Supportive Services Energy Assistance Program Manual 704 INCOME VERIFICATION

Household income must be verified and documented in the case file prior to the approval of benefits. Income verification can be obtained from the applicant, other agencies, computer access or printouts, and/or collateral contacts. The Application for Energy Assistance, Form 2824, provides the applicant household with examples of income verification documentation. The household may be asked to verify their income via the Request for Information, Form 2833-EL, or a similar form produced electronically. In either case, the household is provided with a “Types and Proof of Income” document informing them of what is needed to establish their eligibility. The following is a list of acceptable verification for earned and unearned income (not all inclusive): A. Earned Income: I. Consecutive checks or check stubs showing employee’s gross pay per pay period and frequency of pay (weekly, biweekly, monthly, etc.) for every employer for at least the thirty (30) day period preceding the date of application; II. A signed and dated employer statement, written on the employer’s letterhead stationery (must contain address and phone number at a minimum), listing gross income for at least thirty (30) days prior to application and frequency of pay; III. Tip statement signed by employee or employer; or IV. An active AMPS/NOMADS case printout reflecting income within 30 days of the EAP application date or application review date. B. Unearned Income: I. Check or copy of check if it shows the gross income amount; NOTE: Some unearned incomes, e.g., Public Employees Retirement System (PERS), Civil Services Annuity, Social Security benefits, etc., have insurance premiums and other deductions that are not shown in the NET amount. For this reason, the check itself may be insufficient to verify income. The worker must ensure all deductions are included to determine annual gross income. II. Bank statement showing automatic deposit if it shows the gross income amount; 1. NOTE: Some unearned incomes, e.g., Public Employees Retirement System (PERS), Civil Services Annuity, Social Security benefits, etc., have insurance premiums and other deductions that are not shown in the NET amount. For this reason, a bank statement showing the income deposit may be insufficient to verify income. The worker must ensure all deductions are included to determine annual gross income. However, a bank statement can be requested if the applicant’s income is questionable as it may assist the worker in determining if additional income is being received by the household. III. Award or benefit notification from source of income; or

IV. A Divorce decree showing alimony, child support or other support. MTL 01/24 June 25, 2024 - 3 - Section 700 – Income