F. Household Composition

Primary Source for a School Age Child: Current school record showing address of the child and name of relative responsible for the child.

 

Primary Source for a Pre-School Child: Visual observation of the child in the home, plus corroborating evidence from at least one additional secondary source.

 

Secondary Sources

1. Hospital, clinic, Health Department, or private physician's records;

2. Child care provider or day care center records;

3. Court support order;

4. Juvenile court records;

5. Child welfare records;

6. Clergy's statement;

7. Signed statement from an individual(s) who has knowledge of the situation;

8. Visual observation of the individual in the home;

9. Landlord's statement;

10.Contributions to the household budget; or

11.Contact with public housing authority.

(Rev. November 1, 1999)