REQUIREMENTS

• Copy of signed Tax Return. (if you were not required to file, you must sign a tax waiver form with provider. We must have all W-2’s with your return or if waiver is signed, a copy of your social security card is necessary.

• Proof of Residency. This is proof you have been County Resident for at least 90 days (3 months). (The tax return is helpful in determining this, but if a P. O. Box is used as the address on the return , another source of proof of residency is necessary.) This could be a driver’s license or I.D. Card by DMV, utility bill, rent receipt, or other source.

• We must have one months worth of consecutive pay stubs, Social Security Benefit verification, V.A. Pension, Unemployment Benefits, General Assistance from ISD, Food Stamp verification, Letter of support with the value of that support or any other source of income.

• Self Employed people must provide a complete federal return , CRS 1 Reports for one quarter. Income Tax Forms must be signed by whomever filed.