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DOCUMENTATION REQUIRED FOR BENEFITS

Below is a checklist of possible items needed to prove eligibility for the program for which you are applying. Be prepared to show proof of those that apply to your situation:

	Alimony Papers
	Annuities – copy of annuity & last 3 statements
	Birth Certificate/Proof of Citizenship
	Burial or Funeral Account (fund or plan statement)
	Checking Account Statement (last 3 months)
	Court Papers specific to benefits requested
	Cut off notice for utilities
	Death Certificate
	Divorce/Separation Papers/Child Custody
	Eviction notice
	Health Insurance Cards and/or Independence Cards (NOT your Medicare card)
	Homeowner – copy of deed, property tax bill or mortgage statement
	Income Tax return from previous year
	IRA or Keogh (last statement)
	Lawful Permanent Resident - form 1-94 or form from Dept. of Homeland Security
	Lease – copy of lease if you rent (with landlord’s name, address & phone)
	Life Insurance Policy (copy of original policy)
	Picture ID for all adult household members
	Power of Attorney (copy)
	Proof of Disability
	Proof of Income (past 3 months)
	Child Support
	Civil Service Annuity Award Letter
	Disability
	Interest Income
	Mortgage contract for rental or business (you are lender & receiving $$)
	Pay stubs, wage verification form (W-2) or proof of self-employment income
	Rental/Lease income statements for property you rent/lease to someone else
	Retirement/Pension of gross income (before taxes, etc. are deducted)
	Social Security Award letter
	TCA (temporary cash assistance)
	TDAP (temporary disability assistance program)
	Unemployment
	Veterans Administration Award Letter
	Workers Comp
	Savings Account Statement – showing balance at the 1st of this month
	Social Security Cards for all household members
	Stocks, Bonds, 401-Ks (statement for last 3 months)
	Trust Fund document (3 recent statements for those you have had in last 6 mos.)
	Whole Life Insurance (cash value statement from insurance carrier)