Complete number 30 as directed on the form. For MSSICS applications, the Income Menu
(IMEN) screen (MSOM MSSICS 014.002) records the type of income received. After completing
the IMEN, the system displays the appropriate income detail screens necessary to complete
the application.
See SI 00605.025A.1 through SI 00605.025A.6.
REMINDER: Ask the claimant to report any income received or expected to be received beginning
with the first moment of the reference date month.
If you need additional space, use “Remarks.”
1. Person Receiving Income
Identify the recipient of the income.
Identify all income generically.
EXAMPLE: If the individual receives a pension from a former employer, enter only “private
pension.” If they receive a Department of Veterans Affairs (VA) payment, and the type
of VA payment is not material to eligibility, it is enough to note “VA payment.”
Note here if expected income is a one-time payment or will continue at regular intervals.
(If income is paid other than monthly, the date last paid is required for MSSICS claims.)
Use this column to identify source of income unless source is obvious from income
specified in “Type of Income” column, such as VA pension.
Note here if any payment received for food or shelter is received in cash or in kind.