microsoft word - ccs flyer spanish€¦ · web viewauthor: emascorro8890 created date: 10/15/2020...

Family Size 85% SMI 2 $ 3,954 3 $ 4,884 4 $ 5,814 5 $ 6,744 6 $ 7,675 7 $ 7,849 8 $ 8,024 9 $ 8,198 10 $ 8,372 11 $ 8,547 12 $ 8,721 13 $ 8,896 14 $ 9,070 15 $ 9,244 Household requirements: • Parents must be employed, in school or in training *A minimum of 25 hours per week for a single parent *A minimum of 50 hours per week for a two parent household Note: Each parent in a two-parent family must be meeting the minimum 25 hour participation requirement at the 12-month redetermination. • Household must not exceed income guidelines for family size (See Income Guidelines Chart) • Proof of all household income/benefits (i.e., Wages, Bonuses, Commission, Workman’s Comp., SSDI, or Self‐Employment, etc.) • Proof of residence If employed: • Submit the total number of check stubs based on pay schedule below: Income Guidelines Chart Gross Monthly Income October 2020 – September 2021 If in training: • Current school schedule and current transcript (College or University) • Enrollment letter (High School, GED, Vocational, Technical, etc.) • Verification of school/training schedule Documents required for all household members: • Birth Certificate • Social Security Card (Optional) • Driver’s License or Picture ID with current address (parents/caretakers) If Paid: # of Checks Weekly 13 Bi‐Weekly 7 Twice a Month 6 Monthly 3

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Page 1: Microsoft Word - CCS Flyer Spanish€¦ · Web viewAuthor: emascorro8890 Created Date: 10/15/2020 09:34:00 Title: Microsoft Word - CCS Flyer Spanish Last modified by: Erika Mascorro

FamilySize 85% SMI

2 $ 3,9543 $ 4,8844 $ 5,8145 $ 6,7446 $ 7,6757 $ 7,8498 $ 8,0249 $ 8,198

10 $ 8,37211 $ 8,54712 $ 8,72113 $ 8,89614 $ 9,07015 $ 9,244

Household requirements:• Parents must be employed, in school or in training

*A minimum of 25 hours per week for a single parent*A minimum of 50 hours per week for a two parent householdNote: Each parent in a two-parent family must be meeting the minimum 25 hour participation requirement at the 12-month redetermination.

• Household must not exceed income guidelines for family size(See Income Guidelines Chart)

• Proof of all household income/benefits(i.e., Wages, Bonuses, Commission, Workman’s Comp., SSDI, or Self E‐ mployment, etc.)

• Proof of residence

If employed:• Submit the total number of check stubs based on pay schedule below:

Income Guidelines Chart Gross Monthly Income October 2020 – September 2021

If in training:• Current school schedule and current transcript (College or University)

• Enrollment letter (High School, GED, Vocational, Technical, etc.)

• Verification of school/training schedule

Documents required for all household members:• Birth Certificate

• Social Security Card (Optional)

• Driver’s License or Picture ID with current address (parents/caretakers)

If Paid: # of ChecksWeekly 13

Bi Weekly‐ 7Twice a Month 6

Monthly 3

Page 2: Microsoft Word - CCS Flyer Spanish€¦ · Web viewAuthor: emascorro8890 Created Date: 10/15/2020 09:34:00 Title: Microsoft Word - CCS Flyer Spanish Last modified by: Erika Mascorro

Tamaño dela Familia 85% SMI

2 $ 3,9543 $ 4,8844 $ 5,8145 $ 6,7446 $ 7,6757 $ 7,8498 $ 8,0249 $ 8,198

10 $ 8,37211 $ 8,54712 $ 8,72113 $ 8,89614 $ 9,07015 $ 9,244

Requisitos del Hogar:

Los padres deben estar empleados, asistir a la escuela o entrenamiento*Un mínimo de 25 horas por semana para padres solteros*Un mínimo de 50 horas por semana para un hogar con dos padres

Nota: Cada padre de una familia de dos padres debe cumplir con el requisito mínimo de participación de 25 horas en la re-determinación de 12 meses.

El hogar no debe exceder los ingresos mensuales según el tamaño de la familia

(Consulte el Criterio de Ingresos)

Comprobante de todos los ingresos/beneficios del hogar(es decir, Salarios, Bonos, Comisiones, Compensaciones, SSDI, o Trabajo Independiente, etc.)

Prueba de Residencia

Si tuviese empleo: Presente número total de talones de cheques actuales basados en el siguiente horario de

pago:

Si se encuentra en la escuela o entrenamiento:• Horario escolar y expediente académico actual (Colegio o Universidad)

• Carta de matriculación (Secundaria, GED, Vocacional, Técnica, etc.)

• Verificación del horario de la escuela/entrenamiento

Documentos necesarios para todos los miembros de su hogar:• Certificado de nacimiento

• Tarjeta de Seguro Social (Opcional)