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8. Each applicant for EA shall furnish and /or assist the worker to verify his <br />eligibility by presenting documentary proof where required verifying needs, <br />income, the availability of other resources, and any other data required for <br />eligibility determination as follows: <br />a) Receipts reflecting an unusual and /or unexpected expense during the 30 <br />days preceding the Emergency Assistance application. <br />b) Social Security Cards for household members. <br />c) Documentation of citizenship per DHHS Economic and Family Services <br />Section Energy Manual Section 320. <br />d) Physician statements for those applicants and /or household members that <br />have physical or mental impairment that substantially limits their ability to <br />maintain or secure employment during the 30 days preceding the <br />Emergency Assistance application. <br />e) Check stubs, wage statements, ESC benefits, child support, bank or <br />retirement fund statements for applicant and all household members as <br />applicable. <br />f) Check stubs and /or wage statements reflecting decreased income during the <br />30 days preceding the Emergency Assistance application. <br />g) Utility termination notices. <br />h) Leases and eviction notices (court documents or landlord statement <br />indicating that eviction will occur if payment is not received on a specific <br />date). <br />i) Employer statement reflecting termination date and or reason for <br />termination if applicant or household member meets unemployed as defined <br />in Section l.d or f above. <br />j) Eviction court documents, verification of property condemnation, temporary <br />housing situation (i.e. homeless shelter, Family Promise, CNAN) related to <br />previous residence. <br />k) Additional documentary proof as deemed necessary. <br />9. Services to be provided through EA are as follows, when there are emergency <br />needs, and are directly related to obtaining or maintaining employment: <br />• Car repairs (must be employment related) <br />• Emergency housing for victims of family violence (exceeding DV funding <br />limits) <br />• Housing for displaced families in a crisis situation Only paid when following <br />conditions exist: eviction from previous residence (eviction court documents <br />required) property condemnation of prior residence, temporary housing <br />situation (i.e. homeless shelter, Family Promise, CVAN) This would help to <br />exclude casual moves. <br />• Past due rent (must have an eviction notice or landlord statement indicating <br />that eviction will occur if payment is not received on a specific date) <br />• Licenses deemed necessary for work and inability to get license will <br />jeopardize employment <br />Attachment number 1 <br />F -3 Page 100 <br />