| Criteria |
LIM Requirement |
FS Requirement |
| AU Composition |
Statement |
Statement |
| Age |
Statement |
Statement |
| Application for Other Benefits |
Statement |
NA |
| Citizenship |
Third Party Source |
Third Party Source |
| Alienage |
Third Party Source |
Third Party Source |
| Enumeration if SSN is available |
Statement |
Statement |
| Enumeration if Application Made |
Third Party Source (in the third month
after approval) |
Third Party Source |
| Identity |
N/A |
Third Party Source |
| Living with a Specific Relative |
Statement |
N/A |
| Residency |
Statement |
Statement |
| Third Party Resources |
Statement |
Statement |
| Resources |
Statement |
Refer to policy manual |
| Income: Earned and Unearned |
Third Party Source |
Third Party Source |
| Dependent Care Expense |
Statment |
Third Party Source |
| Medical Expenses and Reimbursement |
N/A |
Third Party Source |
| Shelter Cost |
N/A |
Third Party Source |
| Utility Cost/SUA entitlement |
N/A |
Statement |
| Actual Utility Cost |
N/A |
Third Party Source |