Department of Human Services

Child Care Certificate Program Online Policy Manual

Income Eligibility Determination Policy

Revised:

12.6

ACCEPTABLE SOURCES FOR VERIFICATION OF INCOME

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        Paycheck stubs covering a minimum of the last four (4) weeks of regular income. A determination should be made whether or not it is representative of usual pay. The most recent stub submitted should be no more than 30 days old.

 

        Copies of court orders or legal documents

 

        Records of county or circuit courts

 

        Award letters, approval of benefits notices, written statements, both signed and dated, of employers showing weekly number of work hours, rate of pay, and gross income (when check stub or payment histories are not available)

 

        W-2 Forms or income tax forms, i.e., Form C

 

        Bank or financial institution records

 

        Business records maintained by self-employed persons

 

        Electronic eligibility system

 

 

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