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1221 (07/2026) Chapter 8: Examples • Chapter 8: Examples Example 3: Oliver requests ERDC for his son Garrett on July 7th. Oliver states he has been on medical leave from his employment at Mac’s Manufacturing since his surgery the end of May. He tells the worker he is struggling to complete his physical therapy while caring for his toddler, so he is asking for child care for Garrett. Oliver states he will not be able to return to work for three more months and provides medical documentation. Oliver reports that he does not receive any income from work while on medical leave. His last paycheck was received in May. He provides verification of his unpaid leave. The eligibility worker asks Oliver if he is interested in applying for TANF, but Oliver states he is not interested in pursuing child support from Garrett’s mom and does not want to apply for TANF at this time. The worker calculates Oliver’s income for ERDC as follows: (First month’s income) + (ongoing income x 11 months) = total / 12 months = monthly income ($0) + ($0*11) = $0/12 = $0 monthly income Oliver’s ERDC case will be open with the part-time allocation of 108 hours/month and a $0 copay. The eligibility worker tells Oliver that if he needs more hours when he returns to work, he can request them and provide proof of his work hours. The copay will remain at $0 for the entire certification. Example 4: Sam and Sarah request child care for their children. Sarah just had a newborn this month and their older child has been attending preschool. Sam is still working and Sarah is on maternity leave for three months. Sam earned $2,280 this month and will be working 30 hours a week at $19 an hour for ongoing. Sarah received a final check of $1250 this month and does not anticipate any ongoing income. (First month’s income) + (ongoing income x 11 months) = total / 12 months = monthly income ($2,280) + (30 x $19 x 4.3 = $2,451 x 11) = 29,241/12 = $2436.75 ($1,250) + ($0 x 11) = 1,250/12 = $104.16 OSIPM Example 1: Thomas applies for medical on Oct 12. During the interview Thomas reports that he receives $800 SSB and an annual payment of $2,400 in income from mineral rights. Thomas receives these payments each January. The countable income would be calculated as follows; SSB $800 + mineral rights $190 ($2,400 divided by 12 months minus $10 monthly earned income exclusion) = $990 countable income Frequency of income