Countable Income Types: Category: Type: Acceptable ...

Countable Income Types: Category: Type: Acceptable Documentation of Income : Supplemental Security Income (SSI). Award/Benefit Letter (dated in the same year (See ). as the application or the previous calendar Social Security Disability Insurance year with clarification of current amounts). (SSDI) (See ). Payment Printout/statement from issuing Fixed Social Security Retirement (SS) (See agency Countable ). Copy of Check or Bank Statement showing Income Pension (examples are government, deposit military and private). Most recent IRS Form 1099. Widow/Widower's benefit Most recent filed copy of IRS Form 1040 or Alimony Tax Transcript Black Lung pension All pay stubs received 30 days from the date of the application that include gross and/or Earned Wages (salary, tips, commission, year-to-date amounts received Countable bonuses, etc.)

Ohio Department of Job and Family Services documents/Eligibility letter with amounts and dates Most recent IRS Form 1099 Utility Assistance Housing Authority Documentation Workers’ Compensation Award letter from issuing agency (Bureau of Workers’ Compensation (BWC), etc.) Copy of check or bank statement

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