| |
|
|
|
|
|
|
Source Of Income
|
Counted?
|
Income Type
|
Verifications
|
|
- A -
|
|
|
|
|
Active Corps Executives (ACE)
|
No
|
|
|
|
Adoption Assistance
|
No
|
|
|
|
Adult Developmental Activities Program (ADAP)
Payments
|
No
|
|
|
|
Agent Orange Payments
|
No
|
|
|
|
Alaska Native Claims Settlement Act Payments
|
No
|
|
|
|
Alien's sponsor's income
|
Yes
|
Deemed
|
See the specific type of income for verification
|
|
Alimony/spousal support
|
Yes
|
Unearned
|
1. 230-EOM Report
2. Contribution Form (DSS-8176,
3. Contact the Clerk Of Court
4. Contact the spouse
|
|
AmeriCorps stipend (living allowance)
|
No
|
|
|
|
AmeriCorps child care assistance
|
No
|
|
|
|
Annuities
|
Yes
|
Unearned
|
1. Current check or stub
2. Contact the source
|
|
- B -
|
|
|
|
|
Baby-sitting
|
Yes
|
Earned
|
If self-employed, see Self-employment verification
If wages, see Wages verification
|
|
Basic Allowance For Quarters (BAQ [military])
|
Yes
|
Earned
|
1. Leave and Earnings Statement
2. Wage stubs
3. Wage Verification Form, DSS-8113
|
|
Basic Allowance For Subsistence (BAS [military])
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Bingo winnings
|
Yes
|
Unearned
|
1. Copy of check
2. Copy of award letter
3. Tax forms
4. Contact the source
|
|
Black Lung Benefits
|
Yes
|
Unearned
|
1. Current check
2. Award letter
3. Contact the Social Security District Office
4. Contact the U.S. Dept. Of Labor, Black Lung
District Office
|
|
Boarders
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Bonus pay (regularly or paid once a year)
|
Yes
|
Earned
|
1. Wage check or stub
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Brown Lung Benefits
|
Yes
|
Unearned
|
1. Current check
2. Current award letter
3. Contact the Industrial Commission
|
|
- C -
|
|
|
|
|
Campaign contributions
|
No
|
|
|
|
Capital gains from business
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Career Sea Pay (military)
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Child support (all types)
(For additional information on how to count child
support, see XIV.)
|
Yes
|
Unearned
|
1. Contribution Form (DSS-8176)
2. Contact the Clerk Of Court
3. Contact the absent parent
4. 5. ACTS Inquiry
|
|
Clothing Maintenance Allowance (CMA [military])
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
College Work Study Program administered under
Title IV of the Higher Education Act or the Bureau of Indian Affairs
|
No
|
|
|
|
College Work Study Program not administered
under Title IV of the Higher Education Act or the Bureau of Indian
Affairs
|
Yes
|
Earned
|
1. Award letter
2. Contact the educational institution
|
|
Commissions
|
Yes
|
Earned
|
If self-employed, see Self-employment verification
If wages, see Wages verification
|
|
Community Development Block Grant (CDBG) Funds
|
No
|
|
|
|
Contributions
(For additional information on how to count
contributions, see XV.)
|
Yes
|
Unearned
|
1. Contribution Form (DSS-8176) from contributor
2. Contact the contributor
|
|
Cosmetology
|
Yes
|
Earned
|
If self-employed, see Self-employment verification
If wages, see Wages verification
|
|
Court ordered restitution
|
Yes
|
Unearned
|
1. Current check or stub
2. Contact the Clerk Of Court
3. Legal documents
4. Contact attorney
|
|
CP&L (Project Share) Payments
|
No
|
|
|
|
Crisis Intervention Program (CIP) Payments
|
No
|
|
|
|
- D -
|
|
|
|
|
Disability payments that are provided through a
private insurer and the individual is no longer employed
|
Yes
|
Unearned
|
1. Award letter
2. Check
3. Contact the insurance company
|
|
Disability payments that are totally
employer funded and the individual remains employed
|
Yes
|
Earned
|
1. Wage stubs
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Disaster Assistance
|
No
|
|
|
|
Dividends
|
Yes
|
Unearned
|
1. Current dividend check
2. Dividend statement
3. Contact the stockbroker or brokerage firm
4. Contact the company paying the dividends
|
|
- E -
|
|
|
|
|
Earned Income Credit (EIC)
|
No
|
|
|
|
Educational assistance
(All Types)
(See the chart on types of educational
assistance which begins immediately after this chart.)
|
Depends
On the
SourceNo
|
If counted, Unearned
|
1. Award letter
2. Campus based budget form
3. Student Income Verification Form
4. Contact the school
5. Contact the provider
6. Bills/receipts
|
|
Energy Assistance
|
No
|
|
|
|
Experimental Housing Allowance Program (EHAP)
Payments
|
No
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
|
- F -
|
|
|
|
|
Farm income
(If self-employment, see IX. Below for additional
information on how to count self-employment income.)
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Federal Emergency Management Act (FEMA) Payments
|
No
|
|
|
|
Federal Employees Compensation Act (FECA) Benefits
|
Yes
|
Unearned
|
1. Copy of check or stub
2. Award letter
3. Tax forms
|
|
Food and clothing contributions
|
No
|
|
|
|
Food assistance
|
No
|
|
|
|
Food Stamps
|
No
|
|
|
|
Foster Care
|
No
|
|
|
|
Foster Care supplements over the State maximum
payment
|
No
|
|
|
|
Foster-Grandparents
|
No
|
|
|
|
- G -
|
|
|
|
|
Gambling
|
Yes
|
Unearned
|
1. Copy of check
2. Copy of award letter
3. Tax forms
4. Contact the source
|
|
General Assistance (GA) Payments
|
No
|
|
|
|
Gifts (monetary) that are for specific verifiable
special occasions.
|
No
|
|
|
|
- H -
|
|
|
|
|
Houlton Band Of Macisett Indian Payments
|
No
|
|
|
|
Housing and Urban Development (HUD) Payments
|
No
|
|
|
|
Housing Improvement Grants
|
No
|
|
|
|
- I -
|
|
|
|
|
In-kind income or contributions
|
No
|
|
|
|
Income Tax Refund (Federal and State)
|
No
|
|
|
|
Independent Living Initiatives Of Title IV-E Of
the Social Security Act (payments or services provided)
|
No
|
|
|
|
Indian Tribe Payments under
P. L. 97.458 & 98.64
|
No
|
|
|
|
Inheritance
|
Yes
|
Unearned
|
1. Copy of the will
2. Contact the executor or administrator of the
estate
3. Contact the Clerk Of Court
4. Contact the probate lawyer
|
|
Insurance settlements (except for lump sums)
|
Yes
|
Unearned
|
1. Settlement check
2. Contact the lawyer who handled the settlement
3. Contact the insurance company
|
|
Interest income (if paid to the family)
|
Yes
|
Unearned
|
1. Current account statement
2. Request For Financial Information Form
(DSS-3431)
|
|
- J -
|
|
|
|
|
Job Training Partnership Act (JTPA) paid to an adult
|
Yes
|
Earned
|
1. Check, or stub, or DSS 8113
2. Contact the JTPA
|
|
Job Training Partnership Act (JTPA) paid to a child
|
No
|
|
|
|
Jump Pay (Military)
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Jury Duty payments
|
Yes
|
Earned
|
1. Check or stub
2. Contact the Clerk Of Court
|
|
- L -
|
|
|
|
|
Leave Rations (military)
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Loans (if repayment plan shows when the loan will
be repaid)
|
No
|
|
|
|
Longevity pay
|
Yes
|
Earned
|
1. Check or stub
2. Contact the employer
|
|
Lottery winnings - if paid other than as a lump
sum
|
Yes
|
Unearned
|
1. Check
2. Award letter
3. Tax forms
4. Contact the source
|
|
Low-Income Energy Assistance Program (LIEAP)
Payments
|
No
|
|
|
|
Lump-sum payments
(For additional information on how to count
lump-sum payments, see XX. Below.)
|
Yes, for
apps., count in month of receipt
|
Unearned
|
1. Check
2. Letter from provider
3. Signed statements
4. Bill of sale
|
| |
|
|
|
| |
|
|
|
|
- M -
|
|
|
|
|
Migrant income
|
Yes
|
Earned
|
1. Check stub or DSS-8113
2. Contact the Employment Service; Farm Labor
Bureau; Rural Manpower Development; Farmer's Cooperative Service;
Grower's Association; Migrant Service Organizations; county agent; or
the individual growers and crew chiefs.
3. Use records that show: each day's income and
hours worked; and signature of the grower or crew chief.
|
|
Military Allotments
|
Yes
|
Unearned
|
1. Current check or stub
2. Award letter
3. Contact commanding officers of military payment
information centers (Attach a letter authorizing the release of the
information.)
|
|
Military Allotments received as child support
(For additional information on how to count
military allotments received as child support, see XIV. below.)
|
Yes
|
Unearned
|
1. Current check or stub
2. Award letter
3. Contact commanding officers of military payment
information centers (Attach a letter authorizing the release of the
information.)
|
|
Military pay
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Monthly disbursements from a trust fund
|
Yes
|
Unearned
|
1. Contact the administrator/executor of the fund
2. Contact the lawyer
|
|
- N -
|
|
|
|
|
National School Lunch Act
|
No
|
|
|
|
Notary Public fees received
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Nutrition Program For the Elderly, Of the Older
Americans Act Of 1965
|
No
|
|
|
| |
|
|
|
| |
|
|
|
|
- O -
|
|
|
|
|
On-the-Job-Training (OJT) Payments
|
Yes
|
Earned
|
1. Wage stub or check
2. Contact the source
|
|
- P -
|
|
|
|
|
Paid Work Experience (Generally through
Welfare-to-Work)
|
Yes
|
Earned
|
1. Wage stub or check
2. Contact the source
|
|
Passamaquoddy Indian Tribe Payments
|
No
|
|
|
|
Pay advances
|
Yes
|
Earned
|
1. Wage stub or check
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Pell Grants
|
No
|
|
1. Award letter
2. Contact educational institution
|
|
Penobscot Nation Indian Payments
|
No
|
|
|
|
Pensions
|
Yes
|
Unearned
|
1. Pension check or stub
2. Award letter
3. Contact the organization providing the benefits
4. Tax records
|
|
Private unemployment benefits
|
Yes
|
Unearned
|
1. Check or stub
2. Award letter
3. Contact the company paying the benefits
|
|
Public Service Employment (PSE)
|
Yes
|
Earned
|
1. Wage stubs
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
- R -
|
|
|
|
|
Radiation Exposure Compensation Act Payments
|
No
|
|
|
|
Railroad Retirement
|
Yes
|
Unearned
|
1. Railroad Retirement check
2. Award letter
3. Contact a representative of the Railroad
Retirement Board (See listing in RMDS.)
|
|
Relocation payments
|
No
|
|
|
|
Rental income
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Representative payment (payment received by one
individual on behalf of another individual) - Income is available
for the family.
|
Yes
|
See specific income type
|
See specific type of income for verifications
|
|
Representative payment (payment received by one
individual on behalf of another individual) - Income is not available
for the family.
|
No
|
|
|
|
Restitution under the Civil Liberties Act Of 1988
|
No
|
|
|
|
Retirement benefits
|
Yes
|
Unearned
|
1. Retirement check
2. Award letter
3. Contact the company or business paying the
benefits
|
|
Retired Senior Volunteer Program (RSVP)
|
No
|
|
|
|
Reverse mortgages
|
No
|
|
|
|
Roomers
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
- S -
|
|
|
|
|
Sale of blood or plasma
(Considered self-employment)
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Scholarships
(For additional information on how to count
scholarships, see XVII. below.)
|
Yes
|
Unearned
|
1. Award letter
2. Contact the source
|
|
Sea Duty Pay (military)
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Completed Wage Verification Form (DSS-8113)
|
|
Seasonal employment
|
Yes
|
Earned
|
If self-employed, see Self-employment verification
If wages, see Wages verification
|
|
Section 8 (HUD)
|
No
|
|
|
|
Self-employment
(For additional information on counting
self-employment, see IX. below.)
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Selling recyclables
|
Yes
|
Earned
|
1. Tax records
2. Business records
3. Bills/receipts
4. Records from banks, suppliers, or other
knowledgeable sources
|
|
Senior Companions Payment Program (Title II)
|
No
|
|
|
|
Separate Rations (military)
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Completed Wage Verification Form (DSS-8113)
|
|
Service Corps Of Retired Executives (SCORE)
Payments
|
No
|
|
|
|
Severance pay
|
Yes
|
Unearned
|
1. Wage stub or check
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Shared expenses
|
No
|
|
|
|
Shelter, utilities, and household furnishings made
available at no cost
|
No
|
|
|
|
Sick pay
|
Yes
|
Earned
|
1. Wage stub or check
2. Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Social Security Benefits
(If a Medicare premium is being deducted, add the
premium amount to the net benefit amount. Count this total as unearned
income.)
|
Yes
|
Unearned
|
1. BENDEX Inquiry
2. Third Party Query (TPQY)
3. BENDEX Data Exchange Report
4. Current Social Security check
5. Current award letter
|
|
Spousal support
|
Yes
|
Unearned
|
1. 230-EOM Report
2. Contribution Form (DSS-8176)
3. Contact the Clerk Of Court
4. Contact the spouse
|
|
Sponsor income
(For more information on how to count sponsor
income see, XVIII. Below.)
|
Yes
|
Deemed
|
See specific income type
|
|
SSI (Supplemental Security Income)
|
No
|
|
|
|
Stipends for students
|
Yes
|
Unearned
|
1. Check or stub
2. Award letter
3. Contact the educational institution
|
|
Surplus Commodities
|
No
|
|
|
|
- T -
|
|
|
|
|
Tax intercept payments (support)
(For more information on counting tax intercept
payments received as child support, see XIV. below.)
|
Yes
|
Unearned
|
1. ACTS Inquiry
2. Contribution Form (DSS-8176)
3. Contact the Clerk Of Court
4. Contact the spouse
|
|
Telamon Payments
|
Yes
|
Earned
|
1. Check or stub
2. Contact the Telamon Office
3. Wage Verification Form (DSS-8113)
|
|
Tips
|
Yes
|
Earned
|
1. Wage stubs
2. Wage Verification Form (DSS-8113)
3. Work First Family Assistance Report
4. Contact the employer
5. Client's records
|
|
Trade Readjustment Benefits
|
Yes
|
Unearned
|
1. Current check
2. Current award letter
3. Contact the local Employment Security
Commission (ESC) Office
|
|
Travel reimbursement paid from an employer to an
employee for travel expenses while working for the employer
|
No
|
|
|
|
- U -
|
|
|
|
|
Unemployment Insurance Benefits (UIB)
|
Yes
|
Unearned
|
1. ESC/UIB Inquiry
2. Current UIB check
3. Current award letter
|
|
Uniform Relocation Assistance and Real Property
Acquisition Act Of 1970
|
No
|
|
|
|
- V -
|
|
|
|
|
Vacation pay
|
Yes
|
Earned
|
1. Wage check or stub
2. Completed Wage Verification Form (DSS-8113)
3. Contact the employer
|
|
Variable Housing Allowance (VHA) [military]
|
Yes
|
Earned
|
1. Leave and Earnings Statement (LES)
2. Wage stubs
3. Wage Verification Form (DSS-8113)
|
|
Vendor payments
|
No
|
|
|
|
Veteran's Administration Educational Assistance
Program/ G.I. Bill (only what is used for educational purposes)
|
No
|
|
|
|
Veterans Administration (VA) Benefits
|
Yes
|
Unearned
|
1. Contact the VA Regional Office Claims Division
at 1-800-827-1000
2. Current VA benefit check
3. Current award letter
4. Contact the local VA service office
|
|
Vocational Rehabilitation (VR) Incentive Payments
(as long as a training program is in effect)
|
No
|
|
|
|
Volunteers In Service To America (VISTA)
|
No
|
|
|
|
- W -
|
|
|
|
|
Wages
|
Yes
|
Earned
|
1. Wage stubs
2. Wage Verification Form (DSS-8113)
3. Work First Family Assistance Report
4. Contact the employer
|
|
Witness pay
|
Yes
|
Unearned
|
1. Check or stub
2. Contact the Clerk Of Court
|
|
Work First Employment Services payments
made to someone other than the participant but made on the participant's
behalf (Example, child care payments made to the participant's sister
who is also receiving Work First Family Assistance - Count the
child care as income for the sister.)
|
Yes
|
Earned
|
If self-employed, see Self-employment verification
If wages, see Wages verification
|
|
Work Release
(For additional information on how to count Work
Release, see XIX. below.)
|
Yes
|
Unearned
|
1. Check or stub
2. DC-190 from the Dept. of Correction
3. Work Release Check List
4. Contact the Dept. of Correction
|
|
Worker's Compensation provided through a private
insurer or the individual is no longer employed
|
Yes
|
Unearned
|
1. Award letter
2. Current check
3. Contact the provider or insurance company
|
|
Worker's Compensation that is totally
employer funded and the individual remains employed
|
Yes
|
Earned
|
1. Check or wage stub
2. Award letter
3. Contact the company where the person is
employed or its insurance company
4. Contact the lawyer
|