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ENERGY ASSISTANCE PROGRAMS

Section Two: Income Intake, Operations & Policy Manual Program Year 2026 50 • Child Support – Court order stating amount of support paid or received, documentation from the Department of Child Support, bank statement (as a last resort), Reliacard statement, written statement from person paying support; or if the client receiving support as part of an informal agreement and obtaining documentation creates a hardship on the client, a (DHI) and/or other local agency form(s) must be completed and signed. • Contract for Deed – Contract documents, receipts. • Disability Insurance (private) – see “Private Disability Insurance and Gross Income” at the end of Section Two • Dividends – Letter from corporation listing amount, bank statement. • Declaration of Household Income (DHI) and/or other local agency form(s) – Must be completed and signed. • Earned Income – Wages, Salaries, Commissions, Bonuses, Profit Sharing, Tips, Vacation Pay, Overtime Pay, Severance Pay, Sick Leave – Wage stubs or statement from employer specifying gross wages for one of the following time periods; one (1) month, three (3) months or twelve (12) months. (Wages earned through an employer.) Local agencies will establish additional policies or documentation requirements to ensure accuracy and consistency. • Foster Care – Official state and/or court documents. • Informal Income – Receipts, Declaration of Household Income (DHI). • Inheritance- Letter, statement from lawyer, bank statement. • Interest – Bank statement(s). Only to be counted if over $200.00 per year and is withdrawn. • Lump Sum Recurring- See definition of type of income received for proof required if it is income received annually from the same source (e.g., wages, trust fund, etc.) Use OPUS income frequency “one time” • Military Pay – Official document(s) stating amount (e.g., leave and earnings statement, bank statement). When a household member is deployed, that person remains a household member. The deployed person’s gross income is counted as household income. • Pensions – Statement from source, bank statement as last resort with documentation.