QA Tool: Client Information Household Member Information matches application. Names Social Security Numbers Dates of Birth Race, Hispanic, Gender, Disability, Education, Military Status, Health Insurance Physical and Mailing Address(es) Phone Numbers Email Addresses Members between 14-24 designated as Disconnected or Not Disconnected All Required Documentation Present. Social Security cards for everyone over 1 year old. State-issued photo ID for the applicant If not an Indiana ID, proof of residency is required. Proof of Military Status for Veteran or Active Duty (DD-214, ID card, etc.) Income documentation, DWD Release, Zero Income Affidavit Wage Inquiry Paystub W-2 (If applying between January and April) Written statement from employer Proof of Child Support paid Dwelling Type: Landlord Affidavit, Lease, Mortgage statement, Property taxes, etc. Most recent heat and electric bills Signed application ACH Authorization Form for Utility in Rent clients Less Commonly Required Documentation as needed. Declaration of Household Members Form or Proof no longer in the household for unborn child Doctor’s letter Declaration of Inoperable Heating Sources Benefit Waiver Request Form Power of Attorney Statements Communication with utility vendor Energy Education tests Applicant Appeal Letter LSP Appeal Response Letter Fraud investigative documents Et cetera
QA Tool: Client Information Household Member Information matches application. Names Social Security Numbers Dates of Birth Race, Hispanic, Gender, Disability, Education, Military Status, Health Insurance Physical and Mailing Address(es) Phone Numbers Email Addresses Members between 14-24 designated as Disconnected or Not Disconnected All Required Documentation Present. Social Security cards for everyone over 1 year old. State-issued photo ID for the applicant If not an Indiana ID, proof of residency is required. Proof of Military Status for Veteran or Active Duty (DD-214, ID card, etc.) Income documentation, DWD Release, Zero Income Affidavit Wage Inquiry Paystub W-2 (If applying between January and April) Written statement from employer Proof of Child Support paid Dwelling Type: Landlord Affidavit, Lease, Mortgage statement, Property taxes, etc. Most recent heat and electric bills Signed application ACH Authorization Form for Utility in Rent clients Less Commonly Required Documentation as needed. Declaration of Household Members Form or Proof no longer in the household Doctor’s letter for unborn child Declaration of Inoperable Heating Sources Benefit Waiver Request Form Power of Attorney Statements Communication with utility vendor Energy Education tests Applicant Appeal Letter LSP Appeal Response Letter Fraud investigative documents Et cetera
QA%20Tool%20-%20Data%20Entry.docx