ESPL 05-98 Attachment A

NEW SOURCES OF ACCEPTABLE DOCUMENTARY EVIDENCE TO ESTABLISH AGE AND RESIDENCE UNDER THE WORK OPPORTUNITY TAX CREDIT PROGRAM.

BIRTHDATE/AGE:¹

Baptismal Record Birth Certificate Hospital Record of Birth School Identification Card

Driver's License Federal/State/Local Govt I.D. School Records Work Permit

ADDRESS: (Empowerment Zone/Enterprise Community) ²

• Computer Printout From Other Government Agencies

• Driver's License

• Foodstamp Award Letter

• Housing Authority Verification

• Landlord's Statement

• Lease

• Letter From Social Service Agency or School

• Library Card

• Medicaid/Medicare Card

• Property Tax Record

• Postmarked Envelope Addressed to Applicant

• Public Assistance Records

• Rent Receipt

• School I.D. Card

• Selective Service Registration Card

• Utility Bill

• Voter Registration Card

• W-4

• Work Permit

1. Where any item of documentation such as a Federal I.D. Card does not contain age or birthdate, the SESA must obtain another documentary source to verify the individual's age.

2. Where any item of documentary evidence, such as a Library Card does not contain the holder's address, the SESA must obtain other documentary evidence issued in the jurisdiction where the EZ/EC is located showing the holder's address.