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a) Receipts reflecting an unusual and/or unexpected expense during the 30 days preceding the Emergency Assistance application. b) Social Security Cards for household members. c) Documentation of citizenship per DHHS Economic and Family Services Section Energy Manual Section 320. d) Physician statements for those applicants and/or household members that have physical or mental impairment that substantially limits their ability to maintain or secure employment during the 30 days preceding the Emergency Assistance application. e) Check stubs, wage statements, ESC benefits, child support, income tax returns/refunds, bank or retirement fund statements for applicant and all household members as applicable. f) Check stubs and/or wage statements reflecting decreased income during the 30 days preceding the Emergency Assistance application. g) Utility termination or past due notices. h) Completed Crisis Landlord Statement i) Eviction court documents, verification of property condemnation, temporary housing situation(i.e. homeless shelter, Family Promise, C-VAN)related to previous residence. j) Additional documentary proof as deemed necessary. 10. Services to be provided through EA are as follows, when there are emergency needs, and are directly related to obtaining or maintaining employment: • Car repairs (must be employment related) • Car insurance (must be employment related) • Car payments (must be employment related) • Registration Fees for Daycare (must be a licensed daycare and employment related) • Uniforms and/or tools when necessary for employment(must be employment related) • Background and fingerprint checks (must be employment related) • Physicals and shots (must be employment related) • Housing for displaced families in a crisis situation. Only paid when following conditions exist: eviction from previous residence (eviction court documents required)property condemnation of prior residence, temporary housing situation (i.e. homeless shelter, Family Promise, CVAN). No casual moves. • Past due rent (must have completed Crisis Landlord statement). • Licenses and/or tests deemed necessary for work under the Work First program and inability to get license and/or tests will jeopardize employment • Utility expenses (must be past due) Deposits, returned check charges and/or tampering fess will not be included. Utility bill must be past due, does not have to be in disconnect status ( confirm with provider when necessary) • Transportation assistance when needed to relocate-household cannot have lived in Cabarrus County for more than a year, household must have a verified (Family Support Specialist must verify) support system in area to which they are relocating (distance of relocation will impact ability to assist) Page 16119 Attachment number 1 \n F-7 Page 89