Minnesota Minnesota

Program HH Policy Manual

Program HH Policy Manual

Sources of income and acceptable verification documents

Page reviewed: 8/17/22

Program HH will not accept tax forms from previous years as verification of income unless the person is seasonally or self-employed. Program HH does not accept bank statements as verification for any source of income.

For more information, refer to Program HH Policy Manual – Eligibility requirements.

Countable sources of income

Acceptable verification documents

Gross wages and salary

A copy of all pay stubs received in the last 30 days or an employer-signed statement of gross monthly income or taxes (only if seasonally employed for a full year)

Social Security Disability Insurance (SSDI)

Most recent award letter from Social Security Administration (SSA)

Social Security Supplemental Income (SSI)

Most recent award letter from SSA

Dividends and interest

Most recent Internal Revenue Service (IRS) Schedule B (Form 1040) or most recent Form 1099

Net rental income, estate/trust income and/or royalties

Most recent IRS Schedule E (Form 1040)

Public assistance

Most recent award letter

Pensions, annuities and/or veteran’s pensions

Most recent letter stating pension/annuity amount

Unemployment, long-term and short-term disability insurance and/or worker’s compensation

Most recent letter stating amount of unemployment, long-term and short-term disability insurance and/or worker’s compensation benefit

Self-employment

Most recently filed IRS Form 1040 tax return or business-income-to-expenses breakdown (if newly self-employed or if taxes have not yet been filed)

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