1.2.6 Suggested Verification Sources

1.2.6.1 Required Verification to Determine Eligibility

1.2.6.3 Verify For A Household 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

Verification Item	Suggested Verification Sources
Alien Status	SAVE INS Immigration & Naturalization Service Alien Registration Card (Green Card) Naturalization certificate SSA Social Security Administration query to verify work quarters
Residence	Current rent receipt that must show address 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 Unearned Income: DWD UI query Pension Statement SSA’s WTPY report Current award letter Current SSA or SSI Supplemental 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) (SEIRF Self-employment Income Report Form) Bookkeeping records
Primary Person’s ID	Birth record query Birth certificate IEVS match 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 VA Veterans 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 Payments made to an individual who has applied for SSI. These payments are considered a loan and must be repaid to the local agency upon receipt of the individual's initial lump sum SSI payment. 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

1.2.6.2 Verify Only If Questionable

Verification Item	Suggested Verification Sources
SSN Social Security Number	Social Security Card Form 1610 (I-D) Form SSA-5 Form 2583 Medicaid Card Tax documentation (W-2 Wisconsin Works, Tax return form, refund check) Social Security Administration documents such as award/denial letter or SSA/SSI benefit check WTSP (CARES Client Assistance for Reemployment and Economic Support screen DXSN) inquiry EDS 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 Purchase and Prepare)	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

1.2.6.3 Verify For A Household To Receive A Deduction (Not Required For Eligibility)

Verification Item	Suggested Verification Sources
Dependent Care	Written statement from provider Cancelled check Collateral contact with provider Paid receipt or bill Collateral contact with child a person's biological, step, or adopted son or daughter, regardless of age. care worker
Shelter / Utility Expense	Mortgage payment records Rent receipt Statement from landlord Lease HUD US Department of Housing & Urban Development 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
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 Medical Assistance, also known as Medicaid or Title 19 case record for MA deductible
Legal Obligation to pay child support	KIDS /CARES Interface Court documentation
Child support paid out	KIDS/CARES Interface Court documentation Cancelled checks Bank statements Check stubs Written agreement between the two parties

This page last updated in Release Number: 08-03

Release Date: 07/24/08

Effective Date: 07/24/08