1.2.6 Suggested Verification Sources

1.2.6.1 Required Verification to Determine Eligibility

1.2.6.3 Verify for a Food Unit to Receive a Deduction (not required for eligibility)

Below is a list of suggested verification sources, this list does not include every possible verification option. Accept any documents that reasonably meet the verification requirement; do not require a specific source of verification.

1.2.6.1 Required Verification to Determine Eligibility

7 CRF 273.2(f)

Verification Item	Suggested Verification Sources
Immigration Status	SAVE INSImmigration and Naturalization Service or USCISUnited States Citizenship and Immigration Services Alien Registration Card (Permanent Residence Card, Green Card, Form I-551) Naturalization certificate SSASocial Security Administration query to verify work quarters
Wisconsin ResidencyResidency 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 Data exchange completed through DMV or SSA/SSI
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 three months of the work quarter identified. For change reporting requirements see 6.1.1.2 Change Reporting for All Other Food Units (Reduced Reporting). For change reporting requirements for EBD food units with no earnings, see 6.1.1.1 Change Reporting for EBD Food Units with No Earnings. Unearned Income: Department of Workforce Development unemployment query Pension statement SSASocial Security Administration’s WTPY report Current award letter Current SSASocial Security Administration or SSISupplemental Security Income check Collateral contact with the employer, SSASocial Security Administration, insurance company 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 unearned income. IEVS is an indicator that unearned income was received sometime during the three months of the quarter identified. 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 SSASocial Security Administration (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 (when another program of assistance has already verified ID, ID for FoodShare requirements is complete) Labor union or fraternal organization records Court order of name change Wage stubs Voter’s registration card
Disability/Blindness	Statement or collateral contact from VAVeterans Affairs disability benefits Statement, check, or collateral 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 or collateral contact Statement that a person receives Interim Assistance benefits pending the receipt of SSI and SSDI Statement or collateral contact that proves that an individual receives general assistance and meets the SSA guidelines for a disability
ABAWD Work Requirement Exemptions*	Agency form, such as form F-01598 Medical Exemption from Work Requirement for ABAWDs 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 IM worker determination that the member is unfit for employment without requiring a statement or additional verification Information known to the agency Collateral contact Other acceptable written statement

*If an ABAWD exemption is not verified, the exemption will not be applied and the member will be treated as a non-exempt ABAWD if not otherwise exempt or a non-ABAWD.

1.2.6.2 Verify Only If Questionable

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 (Wisconsin Shares)
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 food unit shares shelter costs Utility bill Utility budget amounts Statement from utility company Landlord inquiry Deferred payment agreement Firewood receipt Telephone bill Documented collateral 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 WHEAP/LIHEAP or other energy assistance
SSN	Social Security Card Form 1610 (I-D) Form SS-5 – Application for a Social Security Card Form 2583 Tax documentation (W-2Wisconsin Works, tax return form, refund check) SSASocial Security Administration documents such as award/denial letter or SSA/SSI benefit check SOLQ-I search
Age	Birth certificate IEVS match Baptismal certificate Military service papers Immigration or naturalization papers Hospital birth record Adoption record Passport or U.S. 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	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

* Lack of verification will not affect eligibility, but the deduction will not be allowed.

1.2.6.3 Verify for a Household to Receive a Deduction (not required for eligibility)

Verification Item	Suggested Verification Sources
Child support paid out	KIDSKids Information Data System/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 Written statement or collateral contact from doctor verifying over-the-counter drug was prescribed Bill for services of a visiting nurse, home-maker, or home health aide Lodging or transportation receipts, or both, for obtaining medical treatment or services Bill or receipts for animal food, training, or veterinarian services for a specially trained service animal Bill or receipt for purchase or rental of prescribed equipment or medical supplies, or both IM case record for a Medicaid deductible

This page last updated in Release Number: 18-01

Release Date: 01/08/2018

Effective Date: 01/08/2018