Sample Offer To A Rehired (Page 4 of 4) in pdf

ATTACHMENT B

List of Acceptable Documents to Establish Dependent Relationship

(The numbers before each paragraph represent the dependent certification "type").

1. Legally Married Spouse

Your most recent Federal Tax Return(s) showing that you are married filing jointly or separately (please black

out any financial information) OR Marriage Certificate AND Proof of Joint Ownership dated less than six

months old. Recommendations include Texas Car Insurance Document, assignment of a durable property

power of attorney or healthcare power of attorney, a mortgage or bank statement, or property tax bill.

Documents must include both the employee’s name and the spouse’s name.

Common Law Spouse

Your most Texas Declaration of Informal/Common Law Marriage from the county where the marriage was

recognized or recorded OR your most recent Federal Tax Return(s) showing that you are married filing jointly

or separately, AND Proof of Ownership dated less than six months old. Recommendations include Texas Car

Insurance Document, assignment of a durable property power of attorney or healthcare power of attorney, a

mortgage or bank statement, or property tax bill. Documents must include both the employee’s name and the

spouse’s name.

2. Biological or Adopted Child (adoption complete)

Birth Certificate (must show employee's name as either the father or mother) OR Documentation on hospital

letterhead indicating the birth date of the child or children under 6 months old.

3. Stepchild

Child’s Birth Certificate showing the child’s parent as the employee’s spouse, AND Marriage Certificate

showing legal marriage. If common law marriage, you must provide the documentation as outlined under

Common Law Spouse.

4. Adopted Child (in progress)

Official court or agency placement papers (initial stage) OR Official Court Adoption Agreement for an

Adopted Child (mid-stage).

5. Grandchild

A document that shows the child’s address is the same as the employee’s address. Proof of residency must be

an official document in the form of:

•

(for school age children) current year school records for grandchildren of school age and/or a valid

driver’s license for grandchildren of driving age. OR

•

(for non-school age children) currently dated federal or state benefit assistance program record based on

residence (such as Medicaid), a court record establishing residence, a copy of the day care record on the

daycare’s letterhead or the part of the social security card with the home address of the child for children

not of school age.

A tax return is NOT proof of residency for a grandchild and cannot be accepted as appropriate documentation.

6. Foster Child

Official Court or Agency Placement papers

7. Legal Guardianship or Managing Conservatorship

Court Order establishing the appropriate legal relationship.

PLEASE NOTE that foreign documents, other than a marriage license or a birth

certificate, should be accompanied by an English translation.

Sample Offer To A Rehired Page 4