Criteria |
LIM Requirement |
FS Requirement |
AU Composition |
Statement |
Statement |
Age |
Statement |
Statement |
Application for Other Benefits |
Statement |
NA |
Citizenship |
Third Party Source |
Third Party Source |
Alienage |
Third Party Source |
Third Party Source |
Enumeration if SSN is available |
Statement |
Statement |
Enumeration if Application Made |
Third Party Source (in the third month
after approval) |
Third Party Source |
Identity |
N/A |
Third Party Source |
Living with a Specific Relative |
Statement |
N/A |
Residency |
Statement |
Statement |
Third Party Resources |
Statement |
Statement |
Resources |
Statement |
Refer to policy manual |
Income: Earned and Unearned |
Third Party Source |
Third Party Source |
Dependent Care Expense |
Statment |
Third Party Source |
Medical Expenses and Reimbursement |
N/A |
Third Party Source |
Shelter Cost |
N/A |
Third Party Source |
Utility Cost/SUA entitlement |
N/A |
Statement |
Actual Utility Cost |
N/A |
Third Party Source |