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July 1, 2026

70 o Verification of Out-of-Home Placement for Wisconsin Shares Eligibility form (DCF-F-5190-E) or a letter from the child’s caseworker (county or tribal) that includes:  The name and address of the individual with whom the child is placed,  The name and date of birth of the child,  The date the out-of-home care placement began,  The date the out-of-home care placement will end (if applicable), AND  The name, date the letter was completed, and contact information for the caseworker.

The following nonfinancial eligibility items must only be verified if questionable. • Date of Birth of each Assistance Group member: Self-declaration unless questionable (i.e., the SSA data exchange returns a discrepancy). If questionable: certified copy of Birth Certificate; Driver’s License; U.S. Passport; State-issued ID card; Certificate of Naturalization; Certificate of Citizenship; Tribal ID card issued by a federally recognized tribe; ID issued by USCIS; Any immigration document that has name and date of birth; CWW Birth Query (Wisconsin births only); Medicaid Birth Record • Marital status: Self-declaration unless questionable. If questionable: certified copy of Marriage Certificate or Judgement of Divorce or Legal Separation • Legal Parentage: Self-declaration unless questionable. If questionable: Certified copy of the child’s birth certificate; CWW Birth Query (Wisconsin births only); adoption records; a copy of a receipt from Vital Records showing that a Voluntary Paternity Acknowledgement was filed; copies of court documents showing that a paternity action was initiated; Wisconsin Circuit Court Access • Shared Placement: Self-declaration unless questionable. If questionable: legal documents stating child placement as submitted by the parent o Note: Local agencies must not collect placement documents and make changes to the parent’s case without the parent’s knowledge.

This section last updated 7/1/2026

Section 7.8 Approved Activity Verification The following are acceptable sources of verification for approved activities:

Employment: See Section 7.9. All types of documentation that are acceptable for financial verification are acceptable to verify employment as an approved activity.