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Form W-129G (page 1 of 4) LLF

Rev. 12/08/15

Supplemental Nutrition Assistance Program (SNAP)

Documentation Guide

In order for us to determine your eligibility for SNAP benefits, we need you to give us proof of the SNAP eligibility factors

listed below. The suggested documentation and helpful tips in this guide will help you to give us the proof we need to

determine your SNAP eligibility.

If we determine that you are eligible for SNAP under the expedited processing rules, we can issue you benefits even if you

only verify your identity. However, before we can give you more SNAP benefits, you must verify the other eligibility factors for

yourself and any other household members.

If you are applying for SNAP benefits by mail or fax, please send us copies of your documentation to help us determine your

SNAP eligibility as fast as possible.

Box Eligibility Factor Suggested Documentation Helpful Tips

1 Identity

Must be established and documented for

the person making the application.

z Photo I.D., Driver's License

z U.S. Passport

z Naturalization Certificate

z Hospital/Doctor's Records

z Adoption Papers

z Birth Certificate

z Baptismal Certificate

z Voter Registration Card

Any of these documents

that lists the person's

date of birth can also be

used to verify age. In

addition, a U.S. Passport

or Naturalization

Certificate can also be

used to verify citizenship

if we ask you for proof.

2 Residence

Must prove that each

person who is

applying for SNAP benefits resides at

the address listed on the application.

z Current lease

z Current rent receipt listing name

and address of renter

z Statement from the Landlord or

Primary Tenant

z Mortgage Records

z School Records

If a statement from the

Landlord or Primary

Tenant lists all the

household members, it

can also be used to

document household

composition.

3 Household Composition/Size

Must provide verification of how many

persons reside in the household.

z Statement from Non-Relative

Landlord

z Statement from Community

Organization

z Statement from Non-Household

Member

Statement should

contain the names of all

persons in the household

and can also be used to

prove residence.

4Age

Must provide verification of age for all

persons applying for SNAP benefits.

z Birth Certificate

z Baptismal Certificate

A birth certificate can

also be used to establish

and document identity

and citizenship status.

5 Social Security Number

Must provide a Social Security number

for each

person in your household who

is applying for SNAP benefits, or proof

that one has been applied for.

z Social Security Card

z Official correspondence from the

Social Security Administration (SSA)

If you give us the Social

Security number for each

person in your

household, you do not

need to provide a Social

Security card.

Form W-129G (page 2 of 4) LLF

Rev. 12/08/15

Human Resources Administration

Family Independence Administration

Supplemental Nutrition Assistance Program (SNAP)

Documentation Guide

Box Eligibility Factor Suggested Documentation Helpful Tips

6 Citizenship

Citizenship must be documented only if

it is questionable.

z Birth Certificate

z Hospital Records

z U.S. Passport

z Military Service Records

z Naturalization Certificate

Birth certificates, hospital

records, U.S. Passport

and Naturalization

Certificate can also be

used to prove identity

and age.

7 Immigration Status

Immigration status must be

documented for noncitizens applying

for SNAP benefits.

z USCIS Documentation (for example,

a green card, stamped visa)

z Evidence of continuous residence in

the U.S. since prior to 1/1/72

8 Earned Income

If any

of the household members

applying for SNAP benefits are

employed, the gross earnings (before

any deductions), frequency and

number of hours

worked must be

documented.

z Current pay stubs

z Pay envelopes

z Letter from employer listing gross

earnings, frequency, and number of

hours worked

z Current income tax returns

z If self employed – records and

related materials concerning earnings

and expenses

You should verify the

income you received in

the last 30 days.

9 Unearned Income

If any

of the household members

applying for SNAP benefits are in

receipt of unearned income, the type of

income, amount, and frequency must

be documented.

z Statement from Family Court

z Current Award letter

z Official correspondence from SSA

z Official correspondence from the

Veterans Administration

z Current benefit check or stub

z Statement from bank or credit union

z Statement from person providing

support

z Unemployment Insurance Benefit

(UIB) statement

If you or someone in

your household is in

receipt of Supplemental

Security Income (SSI) no

verification of SSI is

required.

10 Resources

Resources do not affect the eligibility of

most households applying for SNAP

benefits. However, some resource

information is used to determine if you

qualify for expedited processing of your

SNAP application.

z Current bank or credit union records

z Stock/bond certificate

z Statement from financial institution

z Burial plot agreement or deed

z Property deed and/or appraisal

z Life insurance

z Vehicle registration/title

If you have resources

but are not sure whether

or not you are required

to verify them, provide

the verification. If you are

required to verify

resources, we will not

have to wait in order to

make an eligibility

decision.

Form W-129G (page 3 of 4) LLF

Rev. 12/08/15

Human Resources Administration

Family Independence Administration

Supplemental Nutrition Assistance Program (SNAP)

Documentation Guide

Information that may affect your SNAP work registration requirements

Information that you told us about the categories below may exempt you from certain SNAP work registration

requirements. It is important for you to give us proof of that information.

Box Eligibility Factor Suggested Documentation Helpful Tips

11 Disabled/ Incapacitated

z Current SSA/SSI benefits statement

z Signed and dated letter from Doctor or

Medical professional, including a

contact phone number

12 Referral

z Signed and dated letter or statement

from provider of treatment with

contact phone number, hours, and

days of treatment

z Signed and dated letter from

employment service program,

including contact person and phone

number

13 School Attendance

Affects work registration and earnings

of children under 18.

z Current School records (report card or

school letter)

z W-700E School Attendance

Verification Letter

z Letter or current school records from a

College, University, or Institution of

Higher Learning

Form W-129G (page 4 of 4) LLF

Rev. 12/08/15

Human Resources Administration

Family Independence Administration

Supplemental Nutrition Assistance Program (SNAP)

Documentation Guide

Expenses that may affect your SNAP eligibility or benefit amount

If you have any of the expenses listed below, it is important for you to give us verification of that expense. In some instances,

the expense can make you financially eligible to receive SNAP benefits and in many other instances, it can mean you will get

more SNAP benefits.

Box Eligibility Factor Suggested Documentation Helpful Tips

14 Shelter and/or Utility Expenses

z Current rent receipt

z Current lease

z Mortgage book/records

z Property and school tax records

z Landlord statement

z Sewer and water bills

z Homeowner's insurance records

z Fuel bills

z Non-heating utility bills

z Telephone bills

As long as a household

can establish that they

have a shelter expense,

credit for paying

rent/mortgage and/or

utilities will be given

even if the household is

not currently keeping up

with the payments.

15 Medical Bills

This is only for elderly or disabled

persons who incur this expense.

z Copies of medical bills (paid and

unpaid)

z Provider statement of health

Insurance Premiums

z Medicare Prescription Drug Card

This refers to medical

expenses that persons

pay for out-of-pocket.

Do not include

documentation for any

bills that are paid or

supposed to be paid by

someone not in the

household.

16 Health Insurance

z Insurance Policy or Insurance Card

z Statement from insurance provider of

coverage, including health insurance

premium

z Medicare award letter

17 Dependent Care Cost/

Other Expenses

z Court order

z Statement from day care center or

other child care provider

z Statement from aide or attendant

z Canceled checks or receipts