Current through Register No. 12, March 21, 2024
(a) The applicant
seeking to participate under the program shall meet the following requirements:
(1) Be a resident of the state of New
Hampshire; and
(2) Receive benefits
under the programs or acts listed in
Agr
2801.02(a); or
(3) Be eligible to receive benefits under the
programs or acts listed in
Agr
2801.02(a) as determined by a
household income that is no more than 130% of the federal poverty level;
and
(4) Own a companion
animal.
(b) Each
applicant for the program shall:
(1) Provide
the administrator with verification of the applicant's participation or
eligibility to participate in the programs specified in
Agr
2801.02(a); and
(2) Provide either a valid New Hampshire
driver's license or a non-drivers I.D. to establish proof of
identity.
(c) Acceptable
verification of Supplemental Security Income (SSI) benefits under
Agr
2801.02(a)(2) shall be:
(1) In the applicant's name; and
(2) One of the following documents:
a. Current SSI check;
b. SSI check stub; or
c. SSI award letter.
(d) Acceptable verification of the
applicant's participation in one or more of the programs specified by
Agr
2801.02(a)(1) or (3)-(7) shall be:
(1) In the applicant's name;
(2) Issued within 30 days of the applicant's
request for program eligibility; and
(3) One of the following New Hampshire
department of health and human services' documents:
a. Form 440, "New Hampshire Food Stamp
Program Authorization to Issue Coupons";
b. Form 804, "Redetermination
Notice";
c. Form 805, "Notice of
Decision", indicating a determination of eligibility for initial or continuing
receipt of public assistance or food stamps;
d. Form 807R, "Interview Appointment Notice -
Redetermination/Recertification"; or
e. Any other written correspondence from the
New Hampshire department of health and human services,
division of human services to the applicant indicating the applicant's current
receipt of benefits under
Agr
2801.02(a)(1), (3)-(7).
(e) In lieu of proof of
participation as outlined in
Agr
2802.01(d), acceptable verification
of the applicant's eligibility to participate in the programs specified by
Agr
2801.02(a), (8) shall be:
(1) A completed Animal Population Control
Program Income Verification Form; and
(2) Documentation verifying income, such as
copies of:
a. Checks;
b. Bank statements; or
c. An award letter.
(f) If the applicant is unable to
produce the verification required, or if the verification provided does not
prove eligibility for one of the programs under
Agr
2801.02(a), then the administrator
shall request that:
(1) The Social Security
Administration verify the applicant's eligibility status for SSI under
Agr
2801.02(a)(2); or
(2) The New Hampshire department of health
and human services, division of human services verify
the applicant's eligibility status for the programs specified under
Agr
2801.02(a)(1), (3)-(7).
(g) An applicant or applicant's
household shall be limited to a maximum of three approved applications during
any 5-year period. The 5-year period shall be calculated on a rolling 60-month
basis from the date each application is received by the department, that is,
every time an application is received by the department, the department shall
check back 60 months from that date for past approvals, if any.
#5840, eff 6-17-94; ss by #6786, eff 7-1-98, EXPIRED:
7-1-06
New. #10568, eff
4-18-14
