REQUIRED DOCUMENTS FOR APPOINTMENTS


APPOINTMENT TIME_____________DATE_________­­­­­_______   CASE WORKER___________________________


IF YOU ARE MORE THAN 15 MIN LATE, OR IF YOU DO NOT HAVE ALL THE REQUIRED ITEMS

YOU MAY HAVE TO RESCHEDULE YOUR APPOINTMENT 

 

ITEMS TO BE BROUGHT IN ON THE DAY OF YOUR APPOINTMENT:

  • PICTURE ID(S) Must be provided for everyone in household over age 18
  • SOCIAL SECURITY CARD AND BIRTH CERTIFICATE FOR EVERYONE IN THE HOME (If no card, please supply a printout from the SSA or FSSA office OR tax documents to provide proof of SS# for identification purposes)
  • COPY OF LEASE/HUD CONTRACT/MORTGAGE/PROOF YOU OWN THE HOME (DEED, PROP. TAX PAPER, CONTRACT)
  • RECEIVING SOCIAL SECURITY? COPY OF SOCIAL SECURITY AWARD LETTER FOR CURRENT YEAR
  • APPLIED FOR DISABILITY? COPY OF SUPPORTING DOCUMENTATION FOR YOUR APPLICATION AND/OR DENIAL.
  • NO INCOME? COPY OF SUPPORTING DOCUMENTATION FOR YOUR WORK SEARCH AND/OR MEDICAL DOCUMENTATION STATING WHY YOU’RE UNABLE TO WORK.
  • MOST RECENT UTILTY BILL AND GAS BILL

60 DAYS WORTH OF RECEIPTS FOR THE FOLLOWING:

  • PROOF OF ANY INCOME (all sources), CHILD SUPPORT, UNEMPLOYMENT, SSDI, SSI, etc.
  • BANK STATEMENTS AND/OR PRINT OUT OF TRANSACTIONS FOR THE LAST 60 DAYS FROM ALL ACCOUNTSg. Star Bank, First Merchants Bank, Chime, Venmo, Zelle, Paypal, Cashapp, etc.
  • RENT/MORTGAGE RECEIPTS (last 2 months paid, even if not w/in the last 60 days)
  • RECEIPTS FOR ALL EXPENSES PAID FOR THE LAST 60 DAYS. Utilities, gas bills, rent/mortgage receipts, groceries, household items, taxes, phone, internet, car payment, gasoline, childcare, etc. (This list is an example, you may have expenses not listed here. You will need to furnish a receipt for ALL expenses)
  • NOTE: If you do not have a receipt for an expense please provide a hand written explanation.
  • There may be additional documentation requested at any time during, and even after, your appointment.

ITEMS CAN BE EMAILED TO THE FOLLOWING:______________________________________________________________    


**IT IS HIGHLY RECOMMENDED TO EMAIL DOCUMENTS TO YOUR CASEWORKER PRIOR TO YOUR APPT. DATE AND TIME TO BE REVIEWED IN ADVANCE**


State Application