Obtaining Verification Necessary to Complete a Claim 430-05-80-29

(Revised 06/01/15 ML3440)

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When the worker has determined there is potential for a claim or that a claim exists, any verification needed to complete the claim must be obtained by using Notice F814 – Claims/Required Verification – allowing the household 10 days to provide the information.  The worker must only request verification necessary to complete the claim and document how they became aware of the information regarding the claim or potential claim.  

 

Example:

1. In month five of the certification period, the household provides verification of income exceeding the GIL, indicates the income will continue and the case is set to close.  In reviewing the income, it appears the household may have been over the gross income limits for prior months.  The worker must send the F814 for verification of the income.  The worker must document the F814 was sent for verification of prior months income based on the year to date totals on the verified pay stub.
2. Household initially applies and is interviewed on August 3.  The household reports no income at application and is approved for August and September.  On August 30, the household provides a pay stub dated August 17 reflecting a pay period of August 4 through 11. The worker must send the F814 for verification of the date hired.  The worker must document the F814 was sent for verification of prior months income based on the pay period start date of the August 17 verified pay stub. If the household fails to respond to the F814 within 10 days, the F401 must be sent to close the case.  

 

If the case is closed and the household fails or refuses to respond to the request, the worker must document in the case file that there is an outstanding claim issue. If the household applies at a later date, the household must cooperate by providing the information necessary to calculate the claim. If the household continues to fail or refuse to provide the information, the application must be denied.

 

If the case is an ongoing SNAP case and the household fails or refuses to respond to the request, the worker must send the F401. The case will close at the end of the advance notice period. The worker must document in the case file that there is an outstanding claim issue. If the household reapplies at a later date, the household must cooperate by providing the information necessary to calculate the claim. If the household continues to fail or refuse to provide the information the application must be denied.

 

If the household responds and indicates they need assistance in obtaining the information, the worker must attempt to obtain the information from the appropriate source. If the appropriate source fails to respond and provide the needed verification, the worker must complete the claim based on the best information provided by the household. The worker must document the attempt to verify income, income used and how it was arrived at.

 

If a household member other than the PI applies on their own, there is no requirement they provide information for the claim before the application can be processed.