Page 13 - Kentucky

Proof of Eligibility:
Guidelines and Examples

• Benefit statement issued by the VA with the consumer’s name, address, and description of
benefit
• Retirement/pension statement with the consumer’s name, date, and payment amount
• Federal or Tribal notice letter of participation in General Assistance with consumer’s name and
effective date
• Unemployment/workers' compensation statement of benefits with the consumer’s name,
address, and effective date
• Divorce Decree, child support award, or other official document containing income information.

If the document does not cover a 12-month period, we can accept 3 consecutive months of
documentation for pay stub, Social Security Benefit Statement, Veterans Administration Benefit
statement, Retirement/Pension Benefit Statement and Unemployment Statement or Workers
Compensation.

Important Information for Customers Who Wish to Print Out Benefits Statements:

When you sign up new customers, many of them will want to qualify using a SNAP or Medicaid benefits
card. In Kentucky, customers cannot use a benefits cards as proof of eligibility if it does not have an issue
date within the last 12 months or a future expiration date. Customers will have to download their
eligibility document online to qualify for Lifeline.

To print out benefits letters, have the customer visit the website below:
https://ssoexternal.chfs.ky.gov/adfs/ls/?wa=wsignin1.0&wtrealm=http%3a%2f%2fssointernal.chfs.ky.gov
%2fadfs%2fservices%2ftrust&wctx=1bdb8511-7c23-4e48-b126-584c9899d19d&wct=2019-03-
08T22%3a53%3a22Z&rp-realm=https://benefind.ky.gov%2fSelfService%2fAcceptanceofConsent

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Proprietary and Confidential 1/20/2020