IM-**V (**/****)

Allowed Verification

Below are examples of allowed proof for verification(s) being requested. Verifications include but are not limited to:

For Identity

• Driver’s license (any state)

• Identification card from state or federal

government, military, school, or work

• Pay stub

• Voter registration card

For Income/Wages (last 30 days)

Employment Income

• Pay stubs showing gross pay

• Employer statement (with rate of pay,

frequency of pay, average hours worked)

Self-Employment

• Federal tax return with schedule C

• Business records showing money

received and expenses paid

Additional Income

• Written statement from the person giving

you money that states amount and how

often it is paid

• Letter that shows the current benefit

amount of unemployment compensation

from another state

• Award letters (Social Security

Administration/Veteran’s Administration)

• Copies of child support checks

For Child Care Need

• Work schedule

• School schedule

For Medical Expenses

• Hospital/Doctor bill

• Insurance premium notice

• Medication receipts

• Transportation/mileage log

For Assets (last 30 days)

• Bank statements or screenshots

• Copy of property deeds or purchase

agreements

• Copies of CD’s, stocks, and/or bonds

• Copy of Pay card, Direct Express card, or

Spend card & ATM receipt

For Citizenship

• Birth Certificate

• US Passport

• Certificate of Naturalization or Citizenship

For Immigration Status

• Naturalization certificate

• I-94 Arrival/Departure record

• I-551 Permanent Resident card

• I-571 Refugee Travel document

• I-688 Temporary Resident card

For Tax Status & Relationships

• Federal tax return

• Court document verifying who can claim

the child as a tax dependent

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