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Previous Policy - 12.4 Dislocated Worker Program File Documentation

12.4.2 Federal Dislocated Worker Eligibility Criteria

Effective date: September 1, 2020

In order to be determined eligible for the WIOA Dislocated Worker Program each applicant must provide evidence of at least one of the Dislocated Worker Eligibility Categories identified in this section in addition to the criteria in Section 12.4.1.

Dislocated Worker Eligibility Categories (Must meet one of the six)	Acceptable Documentation¹
1. Individual or Small Group Layoff Has been terminated or laid off or has received a notice of termination or layoff AND Is Unlikely to Return to a Previous Industry or Occupation AND Is eligible for or has exhausted Unemployment Insurance (UI) benefits OR Has been employed for a duration sufficient to demonstrate attachment to the workforce, but is not eligible for UI due to insufficient earnings or having performed services for an employer not covered under a State UI law	Demonstration that the individual has been terminated or laid off or has received a notice of termination or layoff through one of the following: Self-attestation Verification from employment Notice of layoff (Including a WARN Notice) Public announcement AND Self-attestation that the individual is Unlikely to Return to a Previous Industry or Occupation AND Demonstration that the individual is eligible for or has exhausted unemployment insurance (UI) payments, or is ineligible for UI payments (because of insufficient earnings or was in a job not covered by state UI law) through one of the following: UI records (includes letters from UI) Verbal verification from UI representative Verification of Re-employment Services and Eligibility Assessment (RESEA)-funded services from the ASSET Manage Services tab OR Self-attestation that the individual has been employed for a duration sufficient to demonstrate attachment to the workforce, but is not eligible for UI due to insufficient earnings or having performed services for an employer not covered under a State UI law
2. Permanent Closure or Mass Layoff	Self-attestation OR Verification from employer Rapid Response list Notice of layoff (Including a WARN Notice) Public announcement of layoff UI documentation
3. Separating or Separated Members of the U.S. Armed Forces	DD-214 or other documentation showing separation or imminent separation with a discharge status that is anything other than dishonorable
4. Self-employed	Self-attestation that individual was self-employed and is now unemployed as the result of general economic conditions or natural disaster
5. Displaced Homemaker ²	Self-attestation OR Signed WIOA intake application or registration form Cross-Match with Public Assistance Records Copy of Spouse's Layoff Notice Copy of Spouse's Death Record Copy of Spouse's Permanent Change of Station (PCS) Orders for a military move or assignment) Copy of Divorce Records Copy of Applicable Court Records Copy of Bank Records (showing financial dependence on spouse, no separate individual income support, or no employment income earned) Needs Assessment Signed Individual Employment Plan
6. Military Spouse	Self-attestation that the individual is the spouse of an active member of the U.S. Armed Forces and has experienced the loss of employment because of the service member's permanent change in military duty station OR Self-attestation that the individual is the spouse of an active member of the U.S. Armed Forces and is unemployed or underemployed and having trouble obtaining or upgrading employment

¹ Unless otherwise noted, information on documentation sources is from OMB Control No. 1205-0521.
² Per TEGL 23-19, Attachment II, Data Element 807 Data Element Validation is required.