Documentation Requirements for Adults
Adults with No Insurance
Proof of identification:
- Picture ID or Driver's License
- Birth Certificate
- Resident Alien Card
- Visa
- Passport
- Social Security Card
- Prison ID
Proof of income (must be current within the last 30 days):
- Two recent pay check stubs/four check stubs if paid weekly
- Current award letter for SSI or Disability
- Unemployment award letter
- Letter of employment on letterhead
- Child support
- TANF/Food stamps award letter
Proof of residency (must be current within the last 30 days)
- Utility bill
- Lease or mortgage agreement
- Auto/life/homeowner's insurance
- Letter of homelessness
Verification of Assistance Form (if applicable)
Is the person receiving services dependent on someone else for housing, food or other daily neccessities? If so, the person receiving services must fill out the Verification of Assistance Form and have it signed by the person with whom they live with. Download the Verification of Assistance Form here.
Adults with Insurance
Proof of identification
- Picture ID or Driver's License
- Social Security Card
Proof of insurance
- Front and back of ALL insurance cards