Form Dss-Ea-324 - Wage Verification Form - Department Of Social Services
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2DSS-EA-324 07/15
DEPARTMENT OF SOCIAL SERVICES
DIVISION OF ECONOMIC ASSISTANCE
RE: Wage Information For
Dear
The individual named above has authorized the release of information to the Department
of Social Services (DSS). Please complete the reverse side of this form and return it in
the enclosed stamped, self-addressed envelope or by faxing it to our office if there is a
number listed above.
Through coordinated efforts of the DSS and Department of Labor and Regulation (DLR)
local offices, our programs have increased responsibility in:
Helping adults who are able to work become employed and/or stay
employed; and
Accurately reflecting income received by individuals on our programs to reduce
the risk of a financial sanction against the State of South Dakota.
Please feel free to contact me if you have questions. Thank you for your anticipated
cooperation.
Sincerely,
Economic Assistance Benefits Specialist
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