If a resident's or prospective resident's net monthly income is less than the approved monthly fee at the facility, the resident or prospective resident may apply to the local office for a subsidy on an application provided by the Department. An application for a subsidy shall include: Basic personal information; Income, expense, and asset information, including the amount and type of regular medical expenses; and A release signed by the applicant authorizing the local office to verify the medical and financial information in the application.