6 Pa. Code § 22.33 - Responsibilities of the applicant in the application process
The applicant has the responsibility to conform to the following:
(1) Complete the PACE
application form legibly and accurately.
(i)
Answer questions fully.
(ii)
Present necessary evidentiary documents under the following requirements:
(A) Regarding residence, one of the documents
listed in §
22.22(b) (relating
to residence provisions) or other documentation of residence acceptable to the
Department, except when the application has the applicant's name and current
address preprinted on it.
(B)
Regarding age, one of the documents listed in §
22.23(c) (relating
to age provisions), or two of the other types of documentation of age listed in
§
22.23(d).
(C) Regarding
income, documents required to substantiate each source of income, as defined in
§
22.2 (relating to definitions) and
as set forth in §
22.24(e) (relating
to income provisions), whenever required to do so by the Department.
(D) Regarding qualification for other
benefits, information identifying participation in any of the other programs
referred to in §
22.25 (relating to other
third-party benefits).
(iii) Read the certification and
authorization statement.
(iv) Sign
or mark the application form.
(v)
Obtain signatures required by the Department on the instructions which
accompany the application form.
(2) Submit the completed PACE application
form to the Department.
(3) Assist
the Department in securing evidence which corroborates the applicant's
statements when necessary.
(4)
Consent to a review by the Department of information submitted on the
application form, with reasonable prior notice to the applicant, if selected
for review. PACE eligibility may be denied if the applicant refuses to
cooperate with the request.
Notes
This section cited in 6 Pa. Code § 22.11 (relating to general payment principles).
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