Self-Declaration

INDEX

 

Overview (Back to Index)

A self-declaration is a statement from the client, attesting to an expense amount or other circumstances of the case. There are three types of self-declarations:

There are a limited number of items that can be self-declared. Self-declarations must be accepted for these items. Once a self-declaration has been submitted for a qualifying item, you must not send a Verification Checklist (VC-1) for it unless the information reported is questionable.

Any signed document attesting to a self-declarable verification item must be accepted. This includes, but is not limited to, signed Applications, Interim Reports, Recertifications or Reevaluations, and any other written or typed correspondence from a client that contains their signature including a typed or digital signature.

 

Verbal Self-Declarations  (Back to Index)

Some eligibility factors do not require a written or telephonic self-declaration. For such items, DTA can rely solely on the client’s verbal attestation. The items that clients can verbally self-declare include, but are not limited to, the following:

Cross Programs

SNAP

 

Telephonic and DTA Connect Self-Declaration (Back to Index)

Only the following items can be verified using a telephonic or a DTA Connect self-declaration. Please note that not all of the following are available to be reported on DTA Connect. What can be reported on DTA Connect is marked with an asterisk “*”.

 

Cross Programs

 

TAFDC and EAEDC

For other verification items needed to determine TAFDC and EAEDC eligibility and benefit amounts, regulations state that only when the client has taken all necessary steps to obtain verification through documentary evidence and collateral contact, and no verification is available, that telephonic verification may be accepted as verification for the following eligibility factors:

 

SNAP

Reminder

Proof of address change is different from proof of residency. For program eligibility purposes, Massachusetts residency is not a self-declarable verification item.

If a client appears on the Out of State EBT Card Usage Match and their EBT usage patterns are not consistent with someone who resides near the Massachusetts border, they must reverify residency because their EBT usage patterns make their residency questionable. (However, Simplified Reporting households who appear on the match do not have to reverify residency during case maintenance—only during application, recertification or IR.)

 

 

Written Self-Declarations  (Back to Index)

The following items can be self-declared. Clients must submit a written and signed self-declaration for these items, including a digital or typed signature.

Cross Programs

Reminder

You must attempt to verify earned income information using the Work Number at application, recertification, or Interim Report, prior to sending the client a VC-1. If the client disputes the income available in the Work Number a VC-1 must be sent.

 

Important

Earned and unearned income are listed here as examples of verification elements that usually require documentary evidence, but for which a written self-declaration is acceptable as a last resort. Accepting a written/typed self-declaration as a last resort in lieu of documentary evidence and collateral contact is also allowed for most other verification elements.

 

SNAP

 

Non-Eligibility Items  (Back to Index)

Other non-eligibility items can be verbally self-declared. These include (but may not be limited to) the following:

 

Requesting Verifications That Are Preferably Self-Declared  (Back to Index)

Whenever you attempt to issue a VC-1, INT-1, or INT-2 for an item for which the preferred method of verification is a self-declaration you will receive a warning edit on the verification page of BEACON which states:

“Some of the verification items listed in the ECF Verification tab can be verified as Self-Declaration or using data from a trusted match. Please review the verification items that are not verified.”

If the verification items are questionable, select the Questionable button to complete your response before printing a VC-1.

The Questionable Verifications page reads: “A self-declaration is the preferred type for this verification. Do you have a self-declaration at this time?”.  If No is selected no further action is needed on this page. If Yes is selected, the toggle buttons for “Is this information questionable” must then be answered. If the document is not questionable and you select No, you must verify the item as a Self-Declaration in the Verifications Tab. If Yes is selected, you must click the icon and submit a detailed note explaining why the document is questionable. This will copy into the Narrative.

 

Note

If the client submits a written/typed and signed self-declaration for any self-declarable verification item, you must accept the verification. Do NOT direct the client to resubmit the self-declaration using the telephonic signature line.

 

If the client provided the Department with a self-declaration that is considered questionable the VC-1 that follows will not list self-declaration as a verification type that can be provided.

 

Note

The warning edit and Questionable Verifications page will also appear whenever you attempt to send a VC-1 for a self-declarable item for which telephonic signature is preferable.

 

Verifications Policy and Procedures (EAEDC)

Verifications Policy and Procedures (TAFDC)

 

 

   Last Update:  March 8, 2024