Verification Chart

Created on: 
Feb 01 2016

In order to determine eligibility at application or reapplication, or if the client requests additional hours or reduced copayment, the Department may request verification using various methods. The following lists examples of verification for various situations that may come up during an interview. It is important to note that not every case will require most of these forms of verification. This chart is provided only to show ways something can be verified if it comes up.

Note that in most situations changes in income, employment, household composition, schedule and able/available status do not need to be reported or verified during an eligibility period, unless the client is requesting additional hours of child care or reduced co-payment.  Clients do need to report changes in income or household composition that put the household at or above 85% of the state median income. 



Able and Available to Care for Children

(at Application and Reapplication only)

  • Written documentation from a licensed professional (see WAC 170-290-0020) that states the:
    1. Reason the parent is not able to care for the children;
    2. Expected duration and severity of the condition that keeps the parent from caring for the children; and
    3. Treatment plan if the parent is expected to improve enough to be able to care for the children. The parent must provide evidence from a medical professional showing he or she is cooperating with treatment and is still not able to care for the children.

Address Confidentiality Program (ACP)

  • Call to (360) 753-2972

Alien Status (For all non-citizen SU members)

See tables in the National Immigration Law Center (NILC) Guide for documents used to verify alien status

Supplemental Nutrition Assistance Program Employment & Training (SNAP E&T)

  • eJAS

Child Support Obligation

  • Court order
  • Pay stubs showing child support deducted
  • SEMS data
  • Statement from the custodial parent
  • Receipts

Child Support Received

  • Bank statements
  • Copies of canceled checks
  • Court order
  • Data from out-of-state Support Enforcement agencies if applicable
  • SEMS data
  • Statement from the non-custodial parent
  • Receipts
  • Client statement (if unable to obtain a written statement from the non-custodial parent)

Citizenship and Identity

CPS Involvement



  • Court order
  • Court documents signed by a judge
  • Written statement from the non-custodial parent
  • Written statement from a third-party if unable to obtain verification from the parent

Household Composition

  • Client written or verbal statement
  • Statement from landlord
  • Rental agreement
  • Collateral contact

Income (Employment)

  • Pay stubs
  • Tax return with all W-2s from the previous year
  • Payroll History
  • Employer statement (verbal or written)
  • ACES Interfaces
  • TALX
  • Bank statement that shows direct deposits (many deposits show the net amount, you may need additional information that shows the gross income)
  • Collateral contact
  • Client statement (NEW or CHANGED EMPLOYMENT ONLY) followed by actual verification within 60 days

L&I Claims

  • Data from 1-800-LISTENS (1-800-547-8367)
  • L&I award letter
  • Statement from L&I case manager

Outstanding Copayment

  • Verbal or written statement from the provider (if copayment has been paid in full)
  • Written verification, signed by the client and the provider, if there are arrangements to pay the copayment

Provider Suitability

  • A letter of recommendation from someone who knows the provider describing how the provider is able to fulfill the duties of a provider by:
    1. Picking up or holding a child.
    2. Using a phone to call in an emergency.
    3. Identifying emergency situations.
    4. Driving.
    5. Staying awake while the child is in need of supervision.
    6. Identifying situations that need adult supervision.
    7. Disciplining a child appropriately when needed.


  • Rental or lease agreement
  • Statement from landlord
  • Mortgage papers
  • Utility company records or bills

Schedule (Employment, School, or WorkFirst)

  • Client statement (verbal or written) (if consistent with other information and not questionable)
  • Copy of schedule sheet
  • Employer statement (verbal or written)
  • eJAS
  • Time card/time punch sheet
  • Unofficial transcript (for school)


  • eJAS
  • Individual Responsibility Plan
  • Unofficial transcript
  • Statement from school employee (verbal and written)
  • Client statement (for high school/High School Equivalency)

School (Online Class Location)

  • Client statement (if not questionable)


  • Washington State business license;
  • Uniform business identification (UBI) number;
  • Completed self-employment plan;
  • Profit and loss statement; and
  • Either:
    • Federal self-employment tax reporting forms for the most current reporting year; or
    • DSHS self-employment income and expense declaration form

Shared custody

  • Client statement (if not questionable)
  • Court documentation
  • Informal statement between both parents
  • Collateral contact

Social Security/Supplemental Security Income

  • SDX
  • SOLQ

Special Needs

  • DEL Special Needs Request form; and
  • One of the following:
    1. Individualized education plan (IEP);
    2. Individual health plan (IHP);
    3. Individual family service plan (IFSP);
    4. Basic health records from his or her health care provider;
    5. Comprehensive assessments from a mental health professional; or
    6. Medical or psychological reports from a mental health professional.


  • ACES Mainframe CAFI screen
  • Eligibility Results screen

Travel Time

  • Client statement
  • Google Maps
  • MapQuest
  • Bus schedules/bus trip planners

Tribal TANF income and activity

  • Verbal statement from tribal worker
  • Written IDP
  • Tribal TANF award letter

VA Benefits

  • PARIS Federal
  • Award letters from the VA


  • Spider

WorkFirst Activity

  • Individual Responsibility Plan (IRP)