2.3 Eligibility Verification

2.3.1 Low Income Requirement

2.3.1.1 Counting Annual Income

2.3.1.2 Disregarding Annual Income

2.3.2 Providing a Social Security Number

Contractors must verify eligibility information provided by an applicant to determine whether the applicant qualifies for, or remains eligible for, the Program. The chart below provides a list of suggested sources of verification. Contractors must seek further verification if there is other information that casts doubt on verbal or written, signed statements provided for verification.

Eligibility Criteria

Suggested Source of Verification

Birth Date
(verify birth date only once)

Certified copy of Birth Certificate (must be marked “For Administrative Use”)

Hospital Birth Record

Driver’s License

State-Issued ID Card

US Passport Certificate of Naturalization (must be marked “For Administrative Use”)

Certificate of Citizenship (must be marked “For Administrative Use”)

Native American ID Card or other tribal membership documentation issued by a Federally recognized tribe

CARES birth query (Wisconsin Births only)

Any unexpired immigration document Any official form of identification containing a date of birth.

Relative and primary caregiver

Adoption records

Court order

 CARES relationships query

Any official record indicating the caregiver relationship including indicating that a minor child is both a relative of and living with the applicant

Child

Certified copy of Birth Certificate (must be marked “For Administrative Use”)

Adoption records

Child Support documents

CARES relationships query

Hospital Birth Record

Any official record indicating parental relationships including indicating that a minor child is both a relative of and living with the applicant

Household size

Tax documents

Verified income records from other income maintenance programs

Check stubs from all sources of household income

Written statement signed by the applicant provides acceptable verification when there is no annual household income to count

Low income (see 2.3.1)

Tax documents

Verified income records from other income maintenance programs

Check stubs from all sources of household income

Written statement signed by the applicant provides acceptable verification when there is no annual household income to count

Unemployed for four weeks

Employment Verification Form (EVFE)

Written statement signed by the most recent employer indicating the last day of employment

Data Exchange unemployment query

Written statement signed by the applicant indicating the last day of employment

Ineligible for unemployment insurance

Data Exchange unemployment query

Unemployment Insurance verbal or written verification of ineligibility to receive UI benefits

Written statement signed by the applicant indicating their lack of recent work history

Not receiving W-2

CARES Participation History query

Not worked in the Program for 1,040 hours

CARES Supportive Services query (WPSS)

Subject to child support

Child support documents

Child support case number (or KIDS PIN if in Wisconsin)

Verbal or written verification by the local child support agency

Under a reunification plan

Child welfare documents with family reunification plan and dates

Verbal or written verification by the local child welfare agency

Ex-offender status

Circuit court records

Criminal Information Bureau records

Incarceration release documents

Statement from probation officer

Statement by the applicant indicating ex-offender status

Foster care status

eWiSACWIS query

Verbal or written verification by the local child welfare agency or independent living agency

U.S. Citizenship
(verify citizenship only once)

Follow verification instructions on I-9 form which can be accessed by the following link: http://www.uscis.gov/files/form/i-9.pdf

Qualifying Non-citizen status

Any document found in the Non-Citizen Eligibility Desk Guide

Residency

Lease Utility bill

Any official mail containing the applicant’s name and address

Written statement indicating the address and signed by the individual whom the applicant resides with

Social Security Number (SSN)
(verify SSN only once)

Data Exchange verifying verbal statement of individual's

SSN Social Security Card

Pay stub displaying the Social Security number

W-2 Tax Form displaying the Social Security number

Other reliable documents displaying both the name and SSN

Application for SSN
(verify only if individual does not have SSN)

Form SS-5, Application for Social Security number

SSA Document (e.g. receipt for SSN Application)

Other Written Statement or Agency Form stating that the individual has applied for an SSN

Oral statement from representatives of other state agencies, hospital staff, or other third parties verifying that a record exists of the individual's application for an SSN

Identity

(verify identify only once)

Driver’s License

State Issued ID Card

Student ID Card

US Government ID Card

Military ID Card

Native American ID Card or other tribal membership documentation issued by a Federally recognized tribe

Any photo ID document issued by USCIS US Passport

Any unexpired immigration document

Any other reliable document that verifies identity

2.3.1 Low Income Requirement

 

To be eligible for the Program, an applicant must be low-income. Low-income is defined as having an annual household income that falls below 150% of the federal poverty level (FPL) for the household size.

Household size includes:

 

EXAMPLE: Andre is 26 years old and cares for his two-year old nephew, Julius. The Contractor verifies that the mother’s parental rights to Julius were terminated and that Andre is the primary caregiver. Andre’s household size is two.

 

 

Contractors must collect information verifying the household size. The individual’s statement of household size and any available supporting documentation provides sufficient verification of household size.

 

Household income is determined by adding all the counted annual income for every adult included in the household, as defined by household size.

 

If the total countable income (See 2.3.1.1) of the household at application is less than 150% of the FPL for the size of the household, the applicant may be considered for the Program.

 

See 2.3.1.2 for income that is disregarded.

 

The FPL changes in February of each year. These figures were effective February 3, 2024.

 

Household Size

150% Annual FPL

Monthly 150% FPL

1

$22,590.00

$1,882.50

2

$30,660.00

$2,555.00

3

$38,730.00

$3,227.50

4

$46,800.00

$3,900.00

5

$54,870.00

$4,572.50

6

$62,940.00

$5,245.00

7

$71,010.00

$5,917.50

8

$79,080.00

$6,590.00

9

$87,150.00

$7,262.5

10

$95,220.00

$7,935.00

11

$103,290.00

$8,607.50

12

$111,360.00

$9,280.00

13

$119,430.00

$9,952.50

14

$127,500.00

$10,625.00

15

$135,570.00

$11,297.50

16

$143,640.00

$11,970.00

17

$151,710.00

$12,642.50

18

$159,780.00

$13,315.00

19

$167,850.00

$13,987.50

20

$175,920.00

$14,660.00

21

$183,990.00

$15,332.50

22

$192,060.00

$16,005.00

23

$200,130.00

$16,677.50

24

$208,200.00

$17,350.00

Each Additional Person Add

$672.50

 

 

2.3.1.1 Counting Annual Income

 

Contractors must count all earned and unearned income of all adult household members when determining the 150% FPL test unless specifically disregarded (see 2.3.1.2).

 

 

Contractors have the discretion to determine what constitutes acceptable verification of each income type.

 

2.3.1.2 Disregarding Annual Income

 

Contractors must disregard the following income:

 

2.3.2 Providing a Social Security Number

 

Every applicant for the Program must provide a Social Security Number (SSN) as a condition of eligibility. If the applicant does not have an SSN, the applicant must provide proof that he or she has applied for an SSN.

 

An individual is initially exempt from providing an SSN or proof of application for an SSN if the individual meets each of the following characteristics: (1) Does not have an SSN, (2) Does not have work authorization, and (3) Is a member of one of the following qualified non-citizen groups:

 

1.             Cuban/Haitian entrants, as defined in section 501(e) of the Refugee Education Assistance Act of 1980; or

2.             Certified, foreign-born victims of trafficking; or

3.             Parolees (alien paroled into the U.S. for at least one year under section 212(d)(5) of the Immigration and Nationality Act); or

4.             Certain battered aliens who meet the requirements of 8 USC 1641(c); or

5.             Any qualified non-citizen who cannot apply for an SSN until their immigration status paperwork has been revised.

 

An individual who is initially exempt must continue to complete the necessary steps for obtaining an SSN in order to remain eligible for the Program.

 

 

 

History: Release 24-01.