1. (a) Verification of employment expenses shall not be required for adult category old age assistance (OAA) and aid to the permanently and totally disabled (APTD) financial assistance if the individual's claimed monthly employment expenses are $18.00 or less.

2. (b) Acceptable verification of the amount of employment expenses for adult category OAA and APTD financial assistance shall be:

   1. (1) For payroll deductions:

      1. a. For social security taxes:

         1. 1. Pay stubs; or
         2. 2. A letter or other written information from the employer which specifies the amount of social security taxes withheld from earnings;

      2. b. For railroad retirement taxes:

         1. 1. Pay stubs; or
         2. 2. A letter or other written information from the employer which specifies the amount of railroad retirement taxes withheld from earnings;

      3. c. For federal withholding:

         1. 1. Pay stubs;
         2. 2. A letter or other written information from the employer which specifies the amount of federal taxes withheld from earnings; or
         3. 3. For self-employed individuals, federal tax forms or other documents which indicate the amount of federal withholding taxes being paid; and
      4. d. For all other mandatory payroll deductions, a letter or other written information from the employer which specifies the minimum amount the individual must contribute, and that the deduction is not elective;

   2. (2) For transportation costs:

      1. a. A statement signed by the individual indicating whether reimbursement is received and the amount and source of the reimbursement;
      2. b. If child care related transportation costs are claimed, a statement signed by the child care provider attesting to the fact that it is necessary for the individual to provide the child's transportation;
      3. c. If the individual's own vehicle is used, a signed statement indicating the number of miles claimed and that such mileage is the shortest necessary to travel to and from work;
      4. d. If the individual rides in another person's privately owned vehicle, the documentation in c. above, and a statement signed by the driver which indicates the amount and frequency of the charge for transportation; or
      5. e. If the individual uses public transportation, a statement signed by the provider of the transportation which indicates the amount normally charged to the public and whether the charge is for one-way or round-trip.
   3. (3) For special clothing, paid receipts for purchased clothing which substantiate that the costs are recurring.; and

   4. (4) For child care costs:

      1. a. If the individual is being reimbursed for child care costs through the New Hampshire child care scholarship program, the amount, if any, of the child care fee which the individual shall pay as shown on the Department invoice; or

      2. b. If there is no New Hampshire child care scholarship program involvement with child care costs, acceptable documentation shall be:

         1. 1. A statement signed by the individual indicating whether reimbursement is received and the amount and source of the reimbursement;
         2. 2. A written statement signed by the child care provider indicating the amount and frequency of the child care cost; or
         3. 3. department verbal contact with the child care provider indicating the amount and frequency of the child care cost.
3. (c) If the individual fails or refuses to provide verification of a claimed expense, the amount of the unverified expense shall not be an allowable employment expense.

Source. (See Revision Note #1 at Chapter Heading He-W 600) #5171, eff 6-26-91; ss by #5750, eff 12-1-93; ss by #7135, eff 11-23-99; ss by #9030, eff 11-17-07; ss by #11026, eff 1-23-16; ss by #14355, eff 8-26-25, EXPIRES: 8-26-35