Needed Documentation:

The following documents are required to complete your application.  If you do not turn them in with your application, you will need to turn them in at your follow up appointment.

If you are receiving any of the following: Passport to Services (Cash Aid), Foster Letter, SSI Letter, and/or Unemployment Benefit Letter.

If you are working, we will need the following for each employed parent:

• For parents that work an unpredictable schedule: 3 months worth of income.
• For parents that work a set schedule: 1 month worth of income.
• For parents that work seasonally: 12 months worth of income or current year Tax Return.
• For parents that are self employed: a letter from the source of income OR a copy of the most recently signed and completed tax returns with a statement of current estimated income for tax purposes OR other business records, such as ledgers, receipts, or business logs.
• Age verification for each child in your home including: Birth Certificate, Baptismal Certificate, Passport to Services or any Department of Social Service document, Foster Care letter, etc.
• Copy of the applied child’s Immunization Record.
• Copy of the applied child’s medical insurance card including Medi-Cal.
• Court order paperwork including custody orders, restraining orders, visitation orders, guardianship papers.
• IEP or IFSP if the applied child is diagnosed with a disability.