213 REQUIRED VERIFICATION SR 94-04, 04/94 (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.
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.