Form Dwsp-2303 - Request For Verification - Wisconsin Department Of Children And Families Page 2
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2SUGGESTED ITEMS TO USE FOR VERIFICATION
This is a list of common verification sources. If you cannot provide any of the sources listed, contact your worker.
Social Security Number (SSN)
Medical Insurance
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Social Security Card
Copy of policy or statement
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Social Security Administration Award letter (SSI/SSDI)
Copy of insurance card
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Receipt for SSN application
Child Support Received or Paid
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Citizenship, Alien Status, Identity, Age
Court order
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Birth certificate/adoption papers
Payment record
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Hospital/medical records
Child support payment check stub
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Military records
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Earned Income
Church/baptismal records
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Employer inquiry form
Naturalization papers
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Check stubs for the period listed on the front of the form
Passport
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Employer's wage statement
Immigration Service form I-94 or I-551 or I-151
Self Employment Income
Relationship
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IRS tax return for self employment
Same sources as Citizenship, Alien Status, Identity, Age
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(above)
Self employment records
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Self Employment Income Report Forms (ask your
School records
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worker)
Court records
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Marriage certificate
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Unearned Income
Divorce/separation papers
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Social Security Administration Award letter (SSI/SSDI)
Death certificate
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Unemployment Insurance notice
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VA Benefits Award letter
School Enrollment
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Pension award letter
Letter from school
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Worker's Compensation notice
Report card
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Disability insurance letter
Diploma
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Child support court order/payment record
Certificate of completion from General Educational
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IRS tax forms
Development Diploma (GED) or high school equivalency
program (HSED)
Student Loans and Grants
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Residence / Shelter Costs
Financial Aid Award letter
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Lease
Student Financial Aid Report (SFAR)
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Landlord inquiry form
Expense statement from school
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Rent receipt with landlord's name and phone number on it
Receipt - date aid received and amount
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Mortgage statement
School expense receipts
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Real estate tax statement
Assets
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Utility Expense
Bank statements
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Utility bill
Stocks or bond certificates
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Phone bill
Certificate of deposit or IRA statements
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Lease
Deeds or titles
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Statement from utility company
Life insurance policies or statements
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Landlord inquiry form
Burial/funeral trust agreements
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Real estate tax form
Child Care Expenses
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Signed statement from child care provider
Vehicles
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Receipts or bills
Title or registration
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Loan papers/sales receipt
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Medical Expenses
Statement from car dealer
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Financial statement from health care provider
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Receipts or bills
Other:
If you do not understand what other verification you
need to provide or cannot obtain the items requested,
notify your worker.
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