DOCUMENTS REQUIRED FOR WIOA

ELIGIBILITY DETERMINATION
þ Submission of the following supporting documentation is required in order for eligibility for
WIOA services to be determined.
þ WIOA services will not be provided if the required supporting documents are not submitted.
þ For each section below, one of the qualifying listed documents can be submitted.

Proof of Social Security Number Education Status (Highest grade completed) Displaced Homemaker
 Social Security Card  School Records  Divorce decree or legal separation
 Letter/Printout from Social Security Office  Attendance  Employer Statement
 Public Assistance Record/printout  Drop-out letter  Statement from family member or ex-
 W-2 Form  Applicant Statement or attestation spouse of non-support (Notarized)
 Unemployment Wage Records  Applicant Statement and
 Pay Stub Selective Service Registration Unemployment Wage Record
 DD-214(If SSN Shown)  Public Assistance Records
Mandatory for males born on or after 1/1/1960  In depth assessment with Case
 IRS Form Letter 1722
 Selective Service Card Manager
 Social Security Benefits
Internet (www.sss.gov)  Applicant Statement of the continuous
 Employment Records
 DD-214 effort to seek employment and a
 Selective Service Registration Record (Form 3A) recent job search that shows a
Proof of DC Residency  Stamped Post Office Receipt of Registration minimum of ten (10) employer contacts
 Selective Service Verification Form documenting that a reasonable effort
 Valid Driver’s License  Selective Service Status Information Letter has been made to obtain employment
 Voters Registration
 Utility Bill Proof of Family Income Disability
 Rent Receipts
 School Identification
 Current Pay Stubs  Letter from drug or alcohol
 Public Assistance Records
 W-2 Form rehabilitation agency
 Executed Lease Agreement
 Public Assistance Records  Letter from child study team stating
 Property Tax Record
 Letter from VA specific disability
 Postmarked Mail Addressed to Applicant
 Shelter Letter  Medical records
 Applicant Statement with Corroborating
 UI Documents  Social service records/referral
Witness Signature
 Social Security Benefits  Physician's statement
 Landlord Statements
 Insurance Policy (Residence and Auto)  Psychiatrist's statement
 Homeless- Primary Nighttime Residence Proof of Assistance (Submit all that apply)  Psychologist's diagnosis
 Library Card  Rehabilitation evaluation
 Letter from Social Service Agency or School  TANF Assistance  School records
 Housing Authority Verification  Food Stamp Assistance  Sheltered workshop certification
 Medicaid/Medicare Card  Refugee Assistance  Workers' Compensation record
 General Assistance  Social Security Administration
disability records
Date of Birth
Proof of Family Size (if applicable)  Veterans Administration letter/
records
 Birth Certificate  Vocational Rehabilitation letter
 Public Assistance Records  Dependent Birth Certificate(s)
 Self-Certification
 Government Issued ID  Public Assistance Records
 Telephone Certification
 Valid Driver’s License  Applicant Statement/Self Attestation
 Observable and/or obvious conditions
 Passport  Lease
(applicant statement with the inter-
 DD-214  Divorce decree
viewer serving as the corroboration
 School Records/Identification  Landlord Statement
witness)
 Decree of Court  Decree of Court
 Native American Tribal Document  Disabled
 Baptismal Record with Date of Birth  Most Recent Tax Return supported by IRS documents
 Hospital Birth Record (IRS form 1722)
 Tribal Record with Date of Birth  Public Housing Authority (If Applicant on Wait list)
 Written statement from publicly supported 24-hour
Citizenship care facility or institution (e.g., mental , prison)

 Alien Registration Card Employment Status (if applicable)

(USCIS Forms I-151, I-551, I-94, I-668A, I-197, I-179)
 Layoff Notice
 Birth Certificate
 Termination Letter
 Public Assistance Records
 Voters Registration
 U.S. Passport Veterans Status (if applicable)
 Foreign Passport Stamped Eligible to Work
 DD-214  DD-214
 Naturalization Certification  Self- Attestation
 Alien Registration Card Indication right to work  VA records/printout
 Native American Tribal Document  Military document (ID, other DD form)
 Hospital Birth Record indicating dependent spouse
 Baptismal Certificate with Place of Birth
Government of the District of Columbia