There are three options to choose from. Members over the age of 18, of the household may use different options to determine income eligibility. For example, one member may provide documentation from Medicaid from Option 1 and additional members may use income information from a credit reporting agency in Option 2. Please keep in mind the programs listed under Option 1, except Medicaid, are household benefits and do not require the use of additional options as proof of income-eligibility for other members of the household.
Option 1:
a: Household proof of enrollment in an income-eligible program
b: Medicaid
Option 2: Income verification through a credit reporting agency
Option 3: Income Affidavit - This can only be used in limited circumstances and cannot be used if you are able to utilize Option 1a, Option 1b, or Option 2.
Click here for more details on each income eligibility option and requirements. For household members over the age of 18, you will select the income eligibility option and documentation in the section below.
Any sensitive personal information must be covered or concealed before submitting. Physically covering information with a piece of paper, on a copy of the document is an example of how to conceal information.
Do not alter your original documents.
Examples of sensitive personal information include social security number, driver’s license number, taxpayer ID number, patient ID number, financial account number, or credit card numbers. Documentation sent with visible sensitive personal information will be immediately deleted or destroyed to protect your privacy and a corrected copy will be requested.
Documentation must be issued by the program and include the program name, recipient name and address, and date issued.