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Income Documentation Requirements

Sources of Income and Allowable Documentation

The chart below contains examples of required income documents. You must include documentation of income from all sources for ALL people living in the household who are 18 years or older. Income documents must be current and must include gross income (before deductions) and be dated within the LAST 12 MONTHS unless otherwise specified.

All sources of income must have identifying information matching the recipient to the household, such as the recipient's name and/or address.
Categorical Eligibility
Non-Renewing Programs: Please submit proof eligibility or enrollment in the following programs for the LAST 12 MONTHS:
CalFresh/SNAP (Supplemental Nutrition Assistance Program)
  • Award letter or Notice of Action letter
  • Screenshot/print screen from issuing agency
  • Screenshot/print screen from website (CA.gov) showing current participation
Head Start Income Eligible (Tribal only)
  • Award letter or Notice of Action letter
  • Bank statement with direct deposit source (gross amount)
  • Screenshot/print screen from issuing agency
LIHEAP (Low Income Home Energy Assistance Program)
  • Proof of LIHEAP benefit on utility bill
  • Eligibility notice from LIHEAP Service Provider
Medi-Cal/Medi-Caid Assistance
  • 3rd party Medi-CAL card (LA Care, IEHP, HealthNet, etc.)
  • Adoption Assistance or Foster Care award letter
  • Award letter or Notice of Action letter
  • Issuance History Printout Stamped by the County
  • 1095-B from the Department of Health Care Services
  • Benefits ID card (issued within 12 months)
  • Screenshot/print screen from issuing agency
  • Screenshot/print screen from website
Self-Generation Incentive Program (SGIP)
  • Letter or proof of program enrollment/participation
SSI (Supplemental Security Income)
  • Award letter or Notice of Action letter
  • Bank statement with direct deposit source (gross amount)
  • Screenshot/print screen from issuing agency
  • Copy of uncashed check
  • Caseworker may fax information to Program Representative
Weatherization Assistance Program (WAP)
  • Letter or proof of program enrollment/participation
WIC (Women, Infants and Children)
  • Award letter or Notice of Action letter
  • WIC phone app screenshot/print screen
All Other Forms of Income
Please submit proof any of the following sources of income for the LAST 12 MONTHS:
Tax Forms
  • Most recently filed Federal Income Tax Form 1040, with any appropriate Schedules and W-2s or 1099s if available.
Wages, Salaries, Commissions, Bonuses ( Profit sharing, tips, vacation pay, severance pay, sick leave, royalties, and honoraria which result from the client’s work or service )
  • Current copy of paycheck stubs covering one full month (if paid weekly last 4 pay stubs; if paid bi-weekly last 2 pay stubs)
  • Letter or printout from employer with gross amount and time period
Social Security Benefits, Retirement Survivor Disability Insurance
  • Most recent bank statement showing direct deposit
  • Dated annual benefit letter
  • Payee verification letter showing income amount
  • Current printout
  • Copy of current check or stub
Child support/Spousal support – Received
  • Current court document
  • Current copy of check
  • Current signed statement from person providing report
  • Notice of action showing support
Business income/Rental income/Self Employed
  • Current 1040 with appropriate schedules or Current copy of ledger/journal
  • Signed self-employment statement showing month
  • Gross receipts
  • Gross expenses and net income
Pensions, Retirement and Annuities
  • Current copy of check
  • Pension verification
  • Annual statement
  • Bank statement showing direct deposit
Unemployment/Disability Insurance/Workers Compensation
  • Current copy of check or check stubs
  • Printout or Award Letter
Cash gifts (regular basis)
  • Written statement with dollar amounts and dates (one-time gifts are non-countable)
Dividends, Interest, and Royalties
  • Current copy of check
  • Current statement(s) from financial institutions, bank statement showing direct deposit
Trust disbursements
  • Most recent bank statement showing direct deposit
  • Dated annual benefit letter
  • Payee verification letter showing income amount
  • Current printout
  • Copy of current check or stub
Veteran’s Benefits
  • Current Copy of check
  • Benefit letter
  • Letter of verification from VA
  • Copy of bank statement showing direct deposit
Government assistance/General Assistance/CAPI
  • Current copy of check
  • Notice of Action
  • Passport to Services
  • Verification from worker with amount & date
  • Food stamp verification or aid summary
  • CalFresh award letter
Misc Income : Cash gifts (regular basis), Strike benefits, Tribal payments from casinos, or any other regular income (ex: recycling receipts, under-the-table or freelance work)
  • Copy of checks
  • Check stubs
  • Receipt of payment
  • Award notice
In Home Support Services (only submit if applicant is NOT part of IHSS household)
  • Copy of checks
  • Check stubs
  • Receipt of payment