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4.6 Homelessness Prevention Documentation of lncome <br />Lead/subgrantees must verify and document income eligibi lity prior to program entry <br />CHG Verification of Household Etigibitity and !ncome Recertificotion Form, all allowable income <br />documentation, and the CHG lncome Etigibitity Worksheet (or equivalent) must be kept in the client <br />file. Documentation must be dated within 30 days. <br />Adult household members that have no income are requrred to complete a CHG Self-Declorotion Form <br />4.6.t Annualizing Wages and Periodic Payments <br />Use the CHG tncome Eligibitity Worksheet (or equivalent)to calculate income based on hourly, weekly, <br />or monthly payment information. Add the gross amount earned in each payment period that is <br />documented and divide by the number of payment periods. This provides an average wage per <br />payment period. Depending the schedule of payments, use the following calculations convert the <br />average wage into annual income: <br />./ Hourly wage multiplied by hours worked per week multlplied by 52 weeks' <br />'/ weekly wage multiplied by 52 weeks. <br />,/ Bi-weekly (every other week) wage multiplied by 26 bi-weekly periods. <br />./ Semi-monthly wage (twice a month) multiplied by 24 semi-monthly periods. <br />'/ Monthly wage multiplied by 12 months. <br />The CHG lncome Etiqibility Worksheet is not required for households that have no income. <br />4.7 Hometessness Prevention EligibilityRecertification <br />Lead/subgrantees must document recertification of household income e ligibility at least everY three <br />4.7.L <br />months using the CHG Verificotion of Household Eligibility ond lncome Recertificotion Form. <br />lncome lneligible at Recertification <br />lf households are determined income ineligible, they may remain in the program for an additional <br />three months. Case management may continue for an additional six months after the determination of <br />income ineligibility to support the household transition to self-sufficiency. <br />4.8 Landlords Applying for Homelessness Prevention Assistance on Behalf of Tenant <br />Lead/subgrantees must allow landlords to initiate a request <br />completing lhe Certificotion of Payment Obligation Form. El <br />minimum, a reasonable attempt to contact the tenant must <br />for assistance on behalf of their tenants by <br />igibility is based on tenant eligibility. At <br />be made by the lead/subgrantee using the <br />information provided from the landlord. The lead/subgrantee must create a process for what is <br />reasonable based on the agency and staffing capacity' <br />lf a tenant is unresponsive, ineligible, or eligibility cannot be determined, assistance must be denied <br />Page | 23