Type of Income |
Suggested Sources of Acceptable Written Evidence |
Earnings/Wages/Salary |
1. For each type of income received, send one of the following: 1. Current paycheck stub (for one month) 2. Letter from employer on official letterhead stating gross wages paid and how often they are paid; or 2. Self-employed, business or farming documents, such as
ledger books, last quarterly tax estimates, last year’s tax return; or 3. Last year’s tax return (gross income) with copy of W-2. |
Cash Income |
A letter from employer stating wages paid and frequency |
Social Security (all types) |
1. Social Security Benefit Award letter; or 2. Statement of benefits received. |
Pension/Retirement |
1. Statement of benefits received; or 2. Pension award notice. |
Unemployment Compensation/Disability or Workder's Compensation |
1. Benefit Award letter; or 2. 2. Check stub. |
Financial Assistance Payments |
Benefit statement from DHS (Do not include SNAP). |
First to Work |
DHS Form 728 from First to Work unit |
Child Support/Alimony |
1. Copies of checks or proof of payment received; or 2. Court order decree or agreement. |
All other income |
Documents showing the amount, how often, and date received. |
No Income |
Provide a brief note explaining how you provide food, clothing, and housing for your household and when you expect income. |