Verification of household income

To provide proof of income, you will be asked to submit a copy of your most recently filed 1040, 1040EZ or 1040A federal tax form with your application. You must also submit a copy of any individual in your household‘s most recently filed federal tax form with your application. If you do not meet the minimum income needed for filing taxes, submit a W-2 Wage and Tax Statement for all adults in your household.

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Definition of household

A household is defined as the applicant plus spouse and any tax dependents. Follow these basic rules when including members of your household: Include your spouse if you are legally married. If you claimed someone as a tax dependent for the past tax year, include them as a part of your household. If you have not claimed them as a tax dependent, do not include them.

 

Requirement #2

Applicants must be employed as direct care providers of HCBS services for people with disabilities and/or older adults. This includes personal care assistants (PCA), as well as many other types of direct care positions. If you are not sure if your position falls under HCBS, you can:

• Ask your employer/provider agency for clarification.

• For some, but not all positions, you can search for your employer on the DHS Licensing Information Lookup site, which will note the “Type of service” on the search results page.

• Ask a trusted tribal or county case manager you work with.

• Visit the HCBS providers’ webpage for information on those services.

 

To verify that you work as a direct care provider of HCBS services, you will be asked to submit either:

• A W-2 Wage and Tax Statement

• An UMPI number (for PCA workers). If you do not know what yours is, contact your employer/provider agency.

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Requirement #3

Applicants must have been employed as direct care providers of HCBS services for people with disabilities and/or older adults for at least two years with the same person or provider agency. This includes personal care assistants (PCA), as well as many other types of direct care positions.
 
To verify that you have provided HCBS services for at least two years with the same person or provider agency, you will need to provide

• Your 2022 W-2 Wage and Tax Statement

• Your 2021 W-2 Wage and Tax Statement

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How to Apply

Once you confirm you are eligible to apply, click the "Apply Now" button at the bottom of this page. Before you apply, make sure you have the following documentation:

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1. Proof of income. You will be asked to submit a copy of your most recently filed 1040, 1040EZ or 1040A federal tax form with your application. You must also submit a copy of any individual in your household's most recently filed federal tax form with your application.

2. Proof of employment from the previous two (2) years. To verify that you work as a direct care provider of HCBS services, you will be asked to submit your 2022 and 2021 W-2 Wage and Tax Statements and your 10-digit UMPI number (for PCA workers).

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Questions?

• For questions regarding whether you provide HCBS services for people with disabilities and older adults, you can:

  • Ask your employer/provider agency for clarification.

  • For some, but not all positions, you can search for your employer on the DHS Licensing Information Lookup site, which will note the “Type of service” on the search results page.

  • Ask a trusted tribal or county case manager you work with.

  • Visit the HCBS providers’ webpage for information on those services.

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• For questions regarding eligibility, whether you qualify for the retention bonuses, or help on how to complete the requirements for the retention bonuses, contact your employer/provider agency.

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• For questions regarding showing your proof of income, contact your employer/provider agency or your tax preparer.​

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• For questions or issues regarding your application, email retentionbonuses@togevents.com. Do not email your tax forms to this email. Applications submitted by email will not be accepted.

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