Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 3392 (June 24, 2023).

55 Pa. Code § 3041.64. Self-declaration.

§ 3041.64. Self-declaration.

 (a)  If attempts to verify eligibility by documentary evidence or collateral contact are unsuccessful, the eligibility agency shall proceed without delay to determine the family’s eligibility based upon a self-certification as specified in §  3041.63 (relating to self-certification) or by written self-declaration by the parent or caretaker.

 (b)  The eligibility agency shall instruct the parent or caretaker that a written self-declaration shall be made subject to 18 Pa.C.S. §  4904 (relating to unsworn falsification to authorities).

 (c)  The eligibility agency shall accept a parent’s or caretaker’s self-declaration statement, unless evidence contradicts the statement.

 (d)  If a parent or caretaker uses self-declaration as verification, the eligibility agency shall require the parent or caretaker to provide another form of acceptable verification no later than 30 calendar days following the date the written self-declaration is accepted by the eligibility agency unless otherwise specified in this chapter.

Cross References

   This section cited in 55 Pa. Code §  3041.65 (relating to verification of income); 55 Pa. Code §  3041.66 (relating to verification of residence); 55 Pa. Code §  3041.67 (relating to verification of work, education and training); 55 Pa. Code §  3041.68 (relating to verification of involuntary loss of work, education or training); 55 Pa. Code §  3041.69 (relating to verification of identity); 55 Pa. Code §  3041.71 (relating to verification of reasons for subsidy continuation or suspension); 55 Pa. Code §  3041.77 (relating to verification of maternity and family leave); and 55 Pa. Code §  3041.78 (relating to verification of care and control).

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