PM 02-07-03.

(Intake) This section explains which eligibility factors must be verified and when and how to verify them.

Use the sources listed in this section to verify eligibility when information conflicts with prior documentation in the case record.

When getting necessary verifications from a client:

  • Review any old case record(s) to make sure that the verification needed is not already there. Try not to make unnecessary copies.
  • Only require verification when needed. Make sure the verification asked for is required.
  • Accept other forms of verification not listed in this section if the information agrees with the client's statement and the listed sources are unavailable.

Send Form 2150 to the Bureau of Policy Development when getting verifications causes an undue hardship to the client and the Family Community Resource Center cannot get the information for them.

This may include:

  • the client cannot pay the cost that would be incurred in getting the verification; or
  • the client would have to contact a spouse, ex-spouse, or father of a child whom they are afraid to contact; or
  • New Textthe client would have to contact an abuser or perpetrator of sexual violence, or the person's family or employer; or
  • the verifications are impossible to get; or
  • the client cannot get, or try to get, the verification because of their physical or mental condition.

If persons, employers, or other agencies will not release information without the client's consent, ask the client to sign Consent to Release of Information (Form 34) if there is not a release statement on the request form. Ask the client to sign Authorization to Release Medical Records (Form 4701H) if medical information is needed. See WAG 20-28-00 for in-home care clients.

Clearly state on Form 34 the type of information needed, the purpose, the length of the consent (not to exceed 90 days) and the specific person, employer, or agency being authorized by the client to give the requested information.

A review of public records does not require written consent to release information.

(Cook FCRC) For an applicant who wants help getting verifications of a Cook County birth, marriage, divorce, or death, send Form 97 through the Protective Payee/Verification Unit.

(Downstate FCRC) Send Form 97 to the Protective Payee/Verification Unit if the birth, marriage, divorce, or death occurred in Cook County and the client cannot get the verification. For verifications of birth, marriage, divorce, or death that occurred outside of Cook County, write directly to the appropriate agency.

(FCRC) Use the following procedures when requesting verification of birth, marriage, divorce, or death from the Protective Payee/Verification Unit.

  • Complete Verification of Birth, Marriage, Divorce or Death (Form 97) and send the form to:

Protective Payee/Verification Unit
2036 S. Michigan
Chicago, IL 60616

NOTE: Do not leave Form 97 items blank. When requesting verification of a birth, enter the mother's maiden name and father's full name. If this information is not known, mark the box(es) UNKNOWN.

  • (LOA) Designate a person to control each Form 97.
  • (Designee) If a response is not received within:
  • 15 calendar days (instate verification); or
  • 30 calendar days (out-of-state verification);

send a copy of Form 97 marked "DUPLICATE REQUEST" to the Protective Payee/Verification Unit.

  • (Designee) Recontrol Form 97 and send follow-up requests every 15 or 30 calendar days, as appropriate, until a response is received.
  • (Designee) Give completed Form 97 to the caseworker for any appropriate action and filing in the case record.