If a veteran, and/or a veteran’s spouse, alleges the receipt of a State veteran’s annuity as outlined in SI 01130.662C, ask the individual to submit evidence that verifies the source of the State annuity.

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  documents in the individual's possession (i.e. award letter from the State),

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  office precedent, or

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  direct contact with the State.

If evidence verifies that the annuity is paid by the State to a veteran and/or a veteran’s spouse under this provision, but not the amount or date(s) of payment, accept the individual's allegation of amount(s) and date(s) of receipt. Exclude the State veteran’s annuity payment from resources beginning with the month following the month of receipt and every month thereafter without further development.

Document the acceptable evidence on the Report of Contact page, Evidence (EVID) page, or by faxing the documentation (e.g., SSA-5002, award letter) into the Non-Disability Repository for Evidentiary Documents (NDRED) or the Electronic Folder (EF), as appropriate. Once the documentation is stored and viewed for content in either an eDIB claim filing or the NDRED by using the Evidence Portal (EP), the artifact need not be retained.

In systems situations, if the State annuity payment is retained into the month following the month of receipt, complete the appropriate systems resource page (Financial Institution Account, Other Resource, Cash, etc.). Enter the retained balance in the Verified or Alleged Value field, as appropriate, on the systems resource page. Then enter the retained payment amount in the Excluded Amount field. Select “Other” as the exclusion reason and enter “State veteran’s annuity exclusion” as the reason.

In non-systems situations, use an SSA-1719B to add a remark to the SSR indicating the receipt, frequency and amount of the payment and applicability of the State veteran’s annuity resource exclusion. See SM 01301.841 R1, R2, R3, R4, R5, - SSR Remarks for input instructions for the SSA-1719B Remarks fields.

Another option is to use an SSA-450SI to add "State veteran’s annuity exclusion" in the CG field, see SM 01005.525 Case Related Data.  However, a PR change, or SSA-1719B input after systems payment, to the CG field, can entirely overlay any entries previously posted on the SSR.