IMPORTANT: Supporting documentation must be received within 30 days of the request.
BEFORE SUBMITTING: SUBMISSIONS THAT DO NOT MEET ALL SPECIFIED REQUIREMENTS BELOW WILL NOT BE ACCEPTED.
*Proof of total household income must account for all household members from any source, even if they will not be included on the membership you are applying for.
*SNAP or HEAP proof must consist of the full “Notice of Decision”. Front pages only, partial letters, screenshots, cropped photos, etc will not be accepted. Anyone listed on an application as a household member who is not included in the household’s SNAP and/or HEAP letters is subject to ineligibility.
*Partial tax returns will not be accepted. Full pages showing all income lines must be submitted for Individual & Business Returns.
*Extenuating circumstances are unforeseen or unique conditions that significantly impact someone’s financial situation beyond their control and must be documentable. Extenuating circumstances can include, but are not limited to:
- An unexpected job loss or significant financial change
- Serious injury, illness, or medical condition preventing employment and/or resulting in substantial medical expenses
- Losses due to natural disasters or an emergency situation
Upload documentation that applies to each household member and would support all information provided regarding your household financial situation.
Accepted documentation:
- Employment (most recent 30 days): Paystubs or offer letter with wages. Screenshots of net deposits will not be accepted.
-
Self-employment or business ownership- PLEASE NOTE: Due to the fluctuating nature of self-employment, rental income, or commission-based pay, it can be difficult to accurately estimate current income without comprehensive documentation showing business transactions that include, but are not limited to: current Individual and Business IRS Tax Forms (Form 1099, Schedule C, Profit and Loss Statement), bank statements, deposits, invoices, etc. where reasonable projections can be made. We reserve the right to determine eligibility until adequate and straightforward documentation demonstrating accurate and total income can be provided.
-
Unemployment: Statement
-
DHS (SNAP/HEAP/Public Assistance): Pages 1-3 of each “Notice of Decision” Letter (an application will not be processed if only front page is submitted) *Contact your local DHS office to request a new copy be mailed to you if needed.
-
Child and/or Spousal Support: Court order with amounts
-
Social Security/SSI: Benefit Approval Letter
-
Pension/401k/IRA/Annuities: Statement
-
Disability or Workman's Comp: Approval Statement/Letter
-
Current IRS Tax Return- Business & Individual (partial returns will not be accepted): W-2, Form 1040, Form 1099, Schedule C, etc. Proof of non-filing status or extension request is required.
-
Financial Assistance - Agency (Other): Statement by agency on letter
-
Student Grants/Stipends: Statement
-
Proof of extenuating circumstance: Medical statements, Insurance claims, Letter from employer
-
Other Financial Support