1.2.6 Suggested Verification Sources

Verification Item

Suggested Verification Sources

Alien Status

• SAVE

• INS Alien Registration Card (Green Card)

• Naturalization certificate

• SSA query to verify work quarters

Wisconsin ResidenceResidency refers to Wisconsin residency and not the mailing address. Contrast this with address in the glossary.

• Current rent receipt that must show addressAddress refers to the actual place where the household resides. • An address is required to be provided unless a household is homeless, a migrant, or newly arrived in Wisconsin. Verification of address is not required. • A household does not have to reside in a permanent dwelling. • A household may use a general delivery address when it applies. Contrast this with "residence" in the glossary.

• Current mortgage receipt

• Current lease agreement

• Landlord inquiry

• Current utility bill with address and responsible person’s name

• Check stub with current address

• Driver’s license

• Home visit

• Subsidized housing authority approval

• Post office statement or collateral contact

• Library card

• Voter registration

• Piece of mail received at claimed residence

• Real estate tax statement or receipt

• Weatherization program approval or denial

• Renter or homeowner’s insurance documents

• School registration record

• Letter from employer offering job

• Telephone book

• Motor vehicle registration

• List of residents from a treatment center official, group home, etc.

• Written statement from non-relative

Monthly Gross Income

Earned Income:

• Dated check stubs for the previous 30 days with the employee's name or ID number

• Earnings report or statement from employer

• IEVS report or computer match from another state - to be used only if no other form of verification exists. IEVS matches are not verification of the income an employee has earned. IEVS is an indicator that income was earned from that employer sometime during the 3 months of the work quarter identified. For change reporting requirements see 6.1.1.2.  For change reporting requirements for EBD Food Units with no earnings, see 6.1.1.1.

Unearned Income:

• DWD UI query

• Pension Statement

• SSA’s WTPY report

• Current award letter

• Current SSA or SSISupplemental Security Income check

• Collateral contact with the employer, SSA, insurance company

• IEVS report or computer match from another state

For Self-employment or Farm Income and expenses:

• Income tax return for the previous tax year

• Self Employment Income Report Form(s) (SEIRFSelf-employment Income Report Form)

• Bookkeeping records

Primary Person’s ID

• Birth record query

• Birth certificate

• IEVS match

• SSA (DXSQ/DXSN matches)

• Baptismal certificate

• Military service papers

• Immigration or naturalization papers

• Hospital birth record

• Adoption record

• Passport or US citizen ID card

• Family bible

• Paycheck

• Driver’s license

• Completed SS-5

• Confirmation or church membership papers

• Voter registration card

• Family records (birthday books, genealogy, newspaper birth announcement, marriage license, support or divorce papers)

• Employee ID card

• Life insurance policy

• School records (ID, report cards, diploma)

• State/federal or Indian census records

• Medical records (vaccination certificate, doctor’s or clinic’s records, bills)

• Other social service program ID

• Labor union or fraternal organization records

• Court order of name change

• Wage stubs

• Voter’s registration card

Disability / Blindness

• Statement or third party contact from VAVeterans Affairs disability benefits

• Statement, check, or third party contact from Social Security Administration

• Statement or collateral contact that proves a person receives a Railroad Retirement disability annuity and also qualifies for Medicaid

• Statement that a person receives interim assistance benefits pending the receipt of SSI and SSDI

• Statement or third party contact that proves that an individual receives GA and meets the SSA guidelines for a disability

ABAWD Work Requirement Exemptions*

• Agency Form

• Statement from health care provider, social worker, or AODA service provider

• Employer form / paystub / tax document / EVF-E

• Data Exchanges

• By using information known to the agency including in-person agency verification of a visibly obvious ABAWD status or exemption, such as pregnancy or inability to work due to a temporary or permanent health condition

• Collateral contact

• Other acceptable written statement

Verification Item

Suggested Verification Sources

Dependent Care*

• Written statement from provider

• Cancelled check

• Collateral contact with provider

• Paid receipt or bill

• Collateral contact with childA person's biological, step, or adopted son or daughter, regardless of age. If a child is adopted, the adoption severs the biological tie to the parent. care worker

Shelter / Utility Expense*

• Mortgage payment records

• Rent receipt

• Statement from landlord

• Lease

• HUD subsidized housing approval

• Property tax statement

• Real estate agreement

• Canceled check for rent or utility payment

• Statement from person(s) with whom the group shares shelter costs

• Utility bill

• Utility budget amounts

• Statement from utility company

• Landlord inquiry

• Deferred payment agreement

• Firewood receipt

• Telephone bill

• Documented phone contact with landlord or utility company

• Statement or receipt from landlord for utilities paid by landlord

• Homeowner's insurance policy or billing statement

• Statements from collateral contact

SSN

• Social Security Card

• Form 1610 (I-D)

• Form SSA-5

• Form 2583

• Medicaid Card

• Tax documentation (W-2Wisconsin Works, Tax return form, refund check)

• Social Security Administration documents such as award/denial letter or SSA/SSI benefit check

• WTSP (CARESClient Assistance for Reemployment and Economic Support screen DXSN) inquiry

• HP Enterprise Services query

Age

• Birth certificate

• IEVS match

• Baptismal certificate

• Military service papers

• Immigration or naturalization papers

• Hospital birth record

• Adoption record

• Passport or US citizen ID card

• Driver’s license

• Family records (birthday books, genealogy, newspaper birth announcement, marriage license, support or divorce papers)

• Life insurance policy

• School records (ID, report cards, diploma)

• State/federal or Indian census records

Relationship

• Birth record query

• Birth certificate

• Baptismal certificate

• Military service papers

• Immigration or naturalization papers

• Hospital birth record

• Adoption record

• Family bible

• Confirmation or church membership papers

• Family records (birthday books, genealogy, newspaper birth announcement, marriage license, support or divorce papers)

• Life insurance policy

Household Composition (P&P )

• Written or oral statement from a third party

• Affidavit signed by applicant indicating food is purchased and prepared separately from other household members

School Enrollment Status

• Report card

• Collateral contact with school authorities

• Current school schedule

Verification Item

Suggested Verification Sources

Child support paid out

• KIDS/CARES Interface

• Court documentation

Legal Obligation to pay child support

• KIDS /CARES Interface

• Court documentation

Medical Expenses

• Billing statement

• Itemized receipts

• Medicare card showing Part "B” coverage

• Health insurance policy showing premium, coinsurance, co-payment, or deductible.

• Medicine or pill bottle with price on label

• Statement from pharmacy

• Repayment agreement with provider

• Statement from doctor verifying over-the-counter drug was prescribed

• Bill for services of a visiting nurse, home-maker, home health aide

• Lodging or transportation receipts, or both, for obtaining medical treatment or services

• Bill or receipts for dog food or veterinarian services, or both, for a seeing eye or hearing dog.

• Bill or receipt for purchase or rental of prescribed equipment or medical supplies, or both

• MA case record for MA deductible