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Proof of Self-Employment Income/Hours
• Copies of most recent tax forms
• A Self-Employment Income Report form, F-00107 or
Self-Employment Income Report: Farm Business
form, F-00219 (You can contact your agency for this form. This form should only be used if you have not
yet filed taxes for your self-employment business or you have had a significant change since last filing
taxes)
• Written or verbal statement about the number of hours worked
• For a partnership, most recently filed IRS tax forms and schedules, including Form 1065 and Schedule
K-1 (Form 1065)
• For an S corporation, most recently filed IRS tax forms and schedules, including Form 1120S and
Schedule K-1 (Form 1120S)
• For a sole proprietorship, most recently filed IRS tax forms and schedules, such as Form 4797 or
Schedule C, C-EZ, E, or F
Proof of Other Income
Note: Some examples of other income are disability or sick pay, interest or dividends, veterans’ benefits,
workers compensation, and unemployment insurance.
• Pension statement
• Copy of current check
• Unemployment insurance award letter
• Divorce documents showing financial settlement, alimony, maintenance, family support, or child support
• Documentation of court-awarded settlement
• Social Security award letter
• Veterans Affairs award letter
• Compensation award letter
• Financial aid award letter
• Tax records showing unearned income
• Documentation from any other source of income
• Proof of a Kinship Care, Foster Care, or Subsidized Guardian payment or interim caretaker payment
(may be verbal or written confirmation from the Child Protective Services agency)
Proof of Wisconsin Residency
• Current lease, rental agreement, rent receipt or letter from landlord with current address
• Mortgage receipt with current address
• Utility and/or phone bill with name and current address
• Pay stubs with name, current address, and employer
• Subsidized housing program approval document
• Weatherization program approval document
• Current state of Wisconsin driver’s license
• Current Wisconsin ID card
• Current motor vehicle registration
Note: Homeless individuals and families do not have to provide proof of their home address but for some
programs must certify that they live in Wisconsin and plan to continue to live in Wisconsin.