213 REQUIRED VERIFICATION SR 14-30, 11/14 (FSM-A)

The individual must provide verification of factors affecting household composition if questionable.

Assist the individual in obtaining verification if the individual is incapable of providing it because of a mental or physical disability.

Questionable Factor	Acceptable Verification
Household size	A signed statement by an individual residing outside of the household who knows the individuals in the household. The statement must include a listing of the individuals in the household and their address.
Marital Status	Original or certified copies of legal documents such as marriage licenses or divorce decrees. Signed statements from relatives or individuals residing in the community. Other similar verification.
Purchasing and preparing food separately	A statement signed by all adults residing within the household. A signed statement by an individual residing outside of the household who knows the individuals in the household. Other similar verification. In a situation in which it is an adopted child > 18 and < 22 who is now living with his or her birthparents, a statement signed under penalty of perjury that he or she purchases and prepares meals separately from his or her birthparent.
Disability	If not apparent, a physician's statement that the disability prevents the individual from purchasing and preparing food.
Income less than 165% of net monthly limit	See Chapter 500 , Income.

References: He-W 701.10, He-W 756.05, RSA 161:4-a,IV, 7 CFR 273.1, 7 CFR 273.2(a)(2) & (f)