Income Verification

Workgroup members eligible for compensation based solely on low-income status (i.e. not also qualifying as 
having “lived experience”) must affirm their low-income status. The recommended lowest barrier method for 
affirming low-income status is simple self-attestation. It is recommended that agencies obtain self-attestation in 
writing via a simple form or application that a) informs the workgroup member of the definition of “low income: 
and b) prompts them to check a box or sign the document indicating that they are low income.

Additional verification methods are not required. If the agency prefers to collect additional verification, they may choose to request the following:
● Categorical eligibility for community members currently receiving public assistance in Washington state
● Pay Stubs from the last one to three months
● W-2
● Previous year’s tax return
● Employer statement