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1302 (07/2026) Chapter 8: Examples • Chapter 8: Examples determining eligibility and documents this in the unavailable income section in ONE. Example 2: Andrew is applying for TA-DVS with his two children. He states he just received $943.00 in SSI income. The worker asks Andrew if he has access to the SSI and Andrew states he does. He plans on using $550.00 for a hotel for himself and children. The worker explains since Andrew is using $550.00, we will only count $393.00 which is below the countable income standard for the TA-DVS program. Income Verification Example 3: Cora is applying for TA-DVS and states that they are working part time for USPS. They share that they have been off work for a few weeks due to the abuser harassing them at their workplace, and they last received $600 at the beginning of the month. Cora does not have verification of their income, but the family coach takes Cora’s statement for income verification as it is reasonable. Example 4: Zach is applying for TA-DVS and reports they were working full time for their abuser’s company and made $1400 this month. The income does not show up in the Work Number, and Zach reports that they are unable to provide verification due to safety concerns regarding the abuser finding out. The family coach accepts Zach’s statement for income received this month and continues with eligibility. Chapter 5, section 6: Non-financial eligibility Need to meet SSP definition of domestic violence Verification of domestic violence Example 1: Soto and her children are living with two other individuals. Soto is in the office applying for TA-DVS. The worker asked Soto what has occurred to bring her in to the office. Soto explains the landlord/roommate, Jim has been informing her for the past few months that if she does not clean the house to his approval, he will not allow her to access the refrigerator for food, so she has been storing food away in her room. The reason she is in today, is that last week, Jim attacked her for not doing his laundry and she fears what he may do this again the future. The worker determines that Jim is a household member and the situation meets the SSP definition of DV. Example 2: Desiree is in the office applying for TA-DVS. She states her neighbor Angie has been harassing her. Desiree states that Angie is accusing her of weird things and threatening her. Desiree does not feel safe and would like to move. The worker confirms with Desiree that she has never lived with Angie, they are not relatives and they are not intimate or past intimate partners. The worker explains to Angie that even though her situation does sound unsafe and scary, the relationship does not meet the SSP definition of domestic violence. The worker denies Desiree’s request but offers her the opportunity to speak with a co-located advocate and offers resources in the community. Example 3: Chelsea comes into the ODHS office on Monday and applies for TA-DVS against her boyfriend, Joe. Chelsea meets TA-DVS eligibility and is approved. On Tuesday Joe comes into the ODHS Office and applies for TA-DVS against Chelsea. At this time, we need to determine whom the survivor is. Joe’s TA-DVS application is pended for verification that he is a survivor of domestic violence. His case will not be approved without verification. Chelsea’s case is also pended, for verification that she is a survivor of domestic violence. No payments can be made without verification. The case will close with the Notice of Decision and Action, taken if