Wednesday, November 22, 2017
Voucher Issuing Checklist

Voucher Issuing Checklist

Items to Bring to Your Appointment

  • Original Social Security Cards for all household members (no copies will be accepted)
  • Driver licenses or other verifiable picture I.D. for all household members 18 and over
  • Birth Certificates for all household members
  • Legal custody papers for children living in household who are not sons or daughters
  • If you and/or your spouse work or attend school and must pay child care for children under the age of 13, bring a notarized statement from the babysitter or daycare giving the names of the children, the amount charged, and the days and times for service. The statement must be signed and contain the caregiver’s name, address and phone number
  • Most recent copies of banking statements
  • Verification of the amounts of any assets such as property, investments, etc.
  • Verification of the amount received for real or personal property given away within the last two (2) years
  • If age 62 or older, disabled or handicapped, verifications for any medical, doctor, prescriptions, health insurance premiums not paid by any other source such as Medicaid or Medicare
  • Verification of ALL sources of income for ALL household members. Verifications can be check stubs, tax returns, notarized statement from employer, etc. Income to report includes, but is not limited to:
    • Wages
    • Family contributions toward bills, groceries, etc.
    • AFDC (Food Stamps, TANF)
    • Child Support
    • Alimony
    • Unemployment
    • Social Security, SSI, VA or any other benefit or pension
    • Earnings from self-employment
  • Utility Verification form completed by Florence Utilities Department
  • All enclosed forms completed, signed and dated

It is extremely important for you to provide accurate and complete information concerning all members of the household.  Failure to do so, or falsifying any information, could result in denial, termination of benefits and/or prosecution.

Voucher Re-Examination Checklist -- Moving

Voucher Re-Examination Checklist Moving

Items to Bring to Your Re-Examination Appointment

  • Original Social Security Cards for all household members (no copies will be accepted)
  • Driver licenses or other verifiable picture I.D. for all household members 18 and over
  • Birth Certificates for all household members
  • Legal custody papers for children living in household who are not sons or daughters
  • If you and/or your spouse work or attend school and must pay child care for children under the age of 13, bring a notarized statement from the babysitter or daycare giving the names of the children, the amount charged, and the days and times for service. The statement must be signed and contain the caregiver’s name, address and phone number
  • Most recent copies of banking statements
  • Verification of the amounts of any assets such as property, investments, etc.
  • Verification of the amount received for real or personal property given away within the last two (2) years
  • If age 62 or older, disabled or handicapped, verifications for any medical, doctor, prescriptions, health insurance premiums not paid by any other source such as Medicaid or Medicare
  • Verification of ALL sources of income for ALL household members. Verifications can be check stubs, tax returns, notarized statement from employer, etc. Income to report includes, but is not limited to:
    • Wages
    • Family contributions toward bills, groceries, etc.
    • AFDC (Food Stamps, TANF)
    • Child Support
    • Alimony
    • Unemployment
    • Social Security, SSI, VA or any other benefit or pension
    • Earnings from self-employment