Florida Administrative Code
64 - DEPARTMENT OF HEALTH
64F - Division of Family Health Services
Chapter 64F-16 - ELIGIBILITY AND FEE ASSESSMENT FOR SERVICES OFFERED BY COUNTY HEALTH DEPARTMENTS
Section 64F-16.003 - Income Verification
Current through Reg. 50, No. 187; September 24, 2024
(1) Clients shall be required to sign a self-declaration statement of income, specifying all gross income available to the client and the number of people dependent upon that income.
(2) The self-declaration statement shall include a signed acknowledgement that the statement is true at the time it is made, and that the person making the statement understands that the provider shall attempt to verify the statement.
(3) If the provider is unable to verify wages paid or an employer will not verify wages paid, the self-declaratory statement provided by the applicant must be accepted as accurate.
Rulemaking Authority 154.011(5) FS. Law Implemented 154.011 FS.
New 10-14-93, Amended 4-29-96, Formerly 10D-121.004.
