Page 6
☐Food Distribution Program on Indian Reservations (FDPIR) N/A. ☐Other (specify): N/A. e. Individuals are required to document that they or a family member are certified as eligible to receive TANF, Medicaid, or SNAP benefits or, under the State option, certified as eligible to receive benefits in State- administered programs by providing: ☒Program ID card (only if it includes dates of eligibility) or notice of current eligibility ☐Documentation of participation in State-administered programs (and such programs require documentation of income and have income guidelines at or below WIC's income guideline of 185% of poverty). (Program[s]: N/A. ADDITIONAL DETAIL: Certification and Eligibility Appendix and/or Procedure Manual (citation): Policy and Procedure 2.06 Attachment #1 Income Eligibility Requirements 5. Income Eligibility Documentation a. For WIC applicants whose income eligibility is not based on adjunctive or automatic income eligibility in another means-tested program, the State agency requires (check all that apply): ☒Documentation of income information ☒Signed statement that documentation of income information is not available and why ☒Notation in the participant record if the applicant declares no income and why ☐Other (specify): N/A. b. Exceptions to income documentation are made for the following: 7 CFR 246.7(d)(2)(v)(C) ☒The necessary information is not available ☒The income documentation presents an unreasonable barrier to participation as determined by the State agency ☒Those applicants with no income ☒Those applicants who work for cash ☐Other (specify):N/A. c. If the applicant does not supply the necessary documentation at the certification appointment, local agencies are generally instructed to do the following: ☐Certification process is terminated, and no food instruments/cash-value vouchers are provided; appointment rescheduled. ☒Temporary certification (not to exceed 30 days) for applicants that have one qualifying 6