Page 27 - Pennsylvania

Proof of Eligibility:
Guidelines and Examples

Unacceptable Proofs of Eligibility

SNAP/Access Card:

*Not accepted because there is no issue date or future expiration date featured on the
Pennsylvania Access Card.

Medicare Card:

Supplemental Security Income (SSI) Program:
The following are NOT acceptable as proof of participation in the SSI Program:
o Any document that shows the applicant is receiving Social Security benefits but
not SSI benefits. SSI benefits are administered through the Social Security
Administration but should specifically state that the applicant is enrolled in and
currently receiving benefits through the SSI program.
o Any document showing that the customer has applied for SSI benefits and that
the application has been accepted but not showing that the benefits have been
approved or eligibility certified.

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Proprietary and Confidential 1/20/2020