§ 3042.64. 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 § 3042.63 (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 is 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 to establish eligibility as described in subsection (a), 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.
(e) For a parent or caretaker using self-declaration, eligibility is pending verification until another form of acceptable verification is returned to the eligibility agency as required under this section.
(f) If the eligibility agency does not receive the verifications as required under this section, or if the family is determined ineligible, the eligibility agency shall take the necessary steps to terminate the eligibility pending verification with proper notification to the family as specified in § 3042.155 (relating to notice of adverse action).
Cross References This section cited in 55 Pa. Code § 3042.3 (relating to definitions); 55 Pa. Code § 3042.65 (relating to verification of income); 55 Pa. Code § 3042.66 (relating to verification of residence); 55 Pa. Code § 3042.68 (relating to verification of circumstances relating to a decrease in copayment); 55 Pa. Code § 3042.69 (relating to verification of identity); 55 Pa. Code § 3042.71 (relating to verification of family size); 55 Pa. Code § 3042.73 (relating to verification of care and control); 55 Pa. Code § 3042.145 (relating to domestic and other violence); and 55 Pa. Code § 3042.146 (relating to homelessness).
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