This page appears if you indicated that you no longer have a source of other income. If this is incorrect, select Previous and correct the information.
Some items have an asterisk (*) next to them, indicating they are mandatory. You must fill in these items before you can continue to the next page.
Select from the dropdown menu which type of income ended, and enter a date when it ended. If another type of income ended, select Yes in the “Add Another” section.
Click the Print button to print this page for your reference.
Click the Next button to save and continue with the online Redetermination/Change Report/Simplified Report.
Click the Save & Exit button to exit the online Redetermination/Change Report/Simplified Report and save your progress on your Redetermination/Change Report/Simplified Report. The Redetermination/Change Report/Simplified Report is saved as Incomplete.