BASIC FOOD CALCULATION      
   
Use this tool to estimate Basic Food benefits for categorically eligible households only *  
Standards Effective 10/1/09 through 9/30/10    
NUMBER OF AU MEMBERS          
       
    GAS                
                         
1. MONTHLY EARNED INCOME (NOT EXCLUDED)     5. COUNTABLE INCOME      
A. Self-employment gross income     A. Gross income    
B. Self-employment expenses -   B. Standard deduction based on AU size -  
=   C. Child support paid by AU -  
            D. Out of pocket dependent care expenses -  
D. Earnings from wages, salary, tips, or commissions   E. Medical expenses deduction -  
E. Net self-employment +   F. Earned income deduction (20%) -  
  =     =  
             
2. MONTHLY UNEARNED INCOME (NOT EXCLUDED)     6. EXCESS SHELTER DEDUCTION      
A. Child support received by AU          
B. PA grant (GA, RCA, TANF) +   B. Monthly rent or space rent +  
C. Penalty income (from sanctions) +   C. Monthly mortgage +  
D. Pension benefits +   D. Monthly tax and insurance outside of mortgage +  
E. Railroad retirements +   E. Repairs due to natural disaster +  
F. Social Security and SSI benefits +   F. Total shelter costs =  
G. Unemployment compensation +          
H. Other countable unearned income +   G. Total shelter costs    
  =   H. ½ countable income -  
      =  
3. GROSS INCOME            
A. Total earned income                
B. Total unearned income +              
C. Net farm loss offset (if any) -          
D. Gross income for AU =   7. NET INCOME      
      A. Countable income    
F. Gross monthly income limit for AU.     B. Shelter deduction -  
      =  
             
4. MEDICAL COSTS FOR ELDERLY/DISABLED     8. BASIC FOOD BENEFITS FOR MONTH      
A. One-time out-of-pocket expenses     B. Maximum allotment for AU size    
B. Ongoing monthly out-of-pocket expenses +   C. 30% of net income (rounded up) -  
C. Total estimated medical expenses =          
D. Subtract first $35 each month - 35.00          
  =     =  
                         
                         
   
*The few households who cannot be CE because someone is disqualified for Intentional Program Violation (Food Stamp Fraud) or the head of household is disqualified for not participating in Food Stamp Employment and Training, the household must  
meet the net and gross income standards under WAC 388-478-0060 and the resource limits under WAC 388-470-0005.