PM 08-02-02
See Policy Memorandum dated 10/03/13 Verifications for Medical Programs.
See Medical Morsel dated 04/01/14 Electronic Verifications for Medical Programs.
Sources for earned income information include:
- Pay Stubs
- The Work Number
- Employer's Statements
- AWVS Clearance
- Pay Envelopes
- Wage Tax Receipts
- Self-employment Bookkeeping Records
- Current Business Records for Self Employed Persons
- Employee's W-2 Form
- State or Federal Income Tax Return
- Sales and Expenditure Records
- Employer's Wage Records
- State Income Tax Bureau
Information may be provided on:
- Request for Employment Verification (Form 266),
- Request for Employment Verification (AABD) (Form 266A),
- Request for Employment Verification (AABD computerized) (Form 266ACF), or
- Request for Employment Verification (Computerized) (Form 266CF).
Figure all earned income in monthly amounts. See WAG 11-02-04 for budgeting nonexempt earned income.
The IRS requires employees to use IRS Form 4070 to report their tips to their employer. Use this form to verify tips that are not included on the employee's wage stubs. If no verifications are available, accept the client's statement about the amount of tip income.
Accepting Verifications via the Customer's Cell Phone
Documentary evidence is used as the primary source of verification when possible. Documentary evidence is the actual item itself, such as a driver's license or paystubs. When a customer is claiming not to have the actual item, the Family Community Resource Center (FCRC) may accept verification from the customer's cell phone.
When the customer's only source of proof is on their cell phone, it should be emailed to the FCRC's General mailbox where it can be uploaded to the Electronic Case Record (ECR). The Human Service Caseworker (HSC) should not request that the customer email any documents to their own individual email address.
Case Comment
The HSC must document in Case Comments if verifications are used via cell phones. Case Comments must be documented with information to support eligibility, ineligibility, and benefit level determinations. Documentation should be sufficient in detail to permit a reviewer to determine the reasonableness and accuracy of the determination.
