LIBL/STBL Hardship Extension – Victim of Violence, Crime, or Domestic Violence Verification
 
(01/01/23 - 12/31/23)
Verification for a victim of violence, crime, or domestic violence includes, but is not limited to, any of the following:
 
Court Records
Police Reports
Law enforcement records
Restraining Orders or Orders of Protection against the perpetrator or abuser
Statements by attorneys or other legal professionals providing services to the victim of abuse or violence
Department of Child Safety (DCS) records
Medical records
Statements by medical professionals including physicians, psychologist, psychiatrists, counselors, or other treatment providers(g)
Statements by shelter staff
Statements by community service providers for victims of abuse or violence
Statements by clergy
Statements by a third person with knowledge of the abuse or violence such as a friend or relative to whom the participant or budgetary unit has fled to escape or avoid abuse or violence
Any other evidence that supports the claim of the participant or budgetary unit that the participant or budgetary unit is a victim of abuse or violence
The G1, G2, G5, or G6 CA Cooperation Code is keyed on APPD (See Good cause reasons)
 
For verification of deferral from the Jobs Program for Domestic Violence, contact Jobs Program Contractor Equus via email at [email protected]. Verify the reason the participant is deferred from Jobs participation and the number of the deferral months for this reason.
 
NOTE When the participant receives a deferral from the Jobs Program due to domestic violence, they are not required to provide verification other than the verification of the deferral.
 
When the participant receives a deferral from the Jobs Program due to domestic violence, the deferral must be documented in the case file.