Downloading a Form to Your Computer
Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.
- Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
- Select the folder you want to save the file in and then click "Save."
- Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.
Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.
To provide TANF, food stamp, and Medicaid clients with a list of acceptable sources of verification required to determine eligibility.
When to Prepare
Provide Form H1020-A to the household if the household's case is held pending receipt of verification.
Attach to Form H1020 the page(s) of Form H1020-A that corresponds to the verification requested. GWS staff attach the appropriate page(s) of Form H1020-A to the computer-printed Form H1020.
Number of Copies/Transmittal
Give one copy to the applicant.
There is no retention requirement for this form.
Check the box that corresponds to the eligibility criteria for which proof is pending as noted on Form H1020.
Advise the client that if he cannot obtain the type of proof requested on Form H1020, that other potential sources of proof are listed on Form H1020-A.