| Who you are |
Photo ID, Driver's License, US Passport |
| Age of each applying household member |
Birth or baptismal certificate, hospital records, driver's license |
| Where you live |
Current rent receipt, mortgage records statement from non-relative landlord |
| Shelter Expenses |
Current rent receipt, current lease, mortgage records, property and school tax records, sewer and water bills, utility bills, telephone bills. |
| Social Security Numbers |
Social security card or proof that you have applied for Social Security numbers for every one in your household who is applying for assistance. |
| Citizen or Alien Status |
Birth certificate, US Passport, military service records, naturalization certificate, immigration and naturalization service documentation. SEE NOTE ABOVE. |
| Earned Income |
Current pay stubs, tax records, business records, statement from roomer or boarder of amount paid for lodging. |
| Unearned Income |
| Child Support |
Statement from person paying support |
| Social Security Benefits |
Current benefit check or award letter |
| Veteran's Benefits |
Current benefit check, current award letter, official correspondence from Veteran's Administration. |
| Unemployment Insurance Benefits |
Official correspondence from NY State Department of Labor. |
| Interest and Dividends |
Statement from bank, credit union or broker |
| Educational Grants and Loans |
Statement from school or bank current award letter. |
| Worker's Compensation |
Current award letter or check stubs |
| Resources |
| Bank Accounts |
Bank books or credit union records |
| Checking Accounts |
Bank statements |
| Burial Trust or Fund |
Bank statement or copy of funeral agreement |
| Burial Plot or Agreement |
Statement from cemetery, funeral director or church, of funeral agreement. |
| Life Insurance |
Policy (If applying for FOOD STAMPS only, proof of this is not needed. |
| Real Estate Other Than Where You Live |
Deed, appraisal/estimate of current value by real estate broker. |
| Motor Vehicle |
Registration, title, financing information |
| Stocks and Bonds |
Stock certificates, bonds |
| School Attendance of Those Attending School |
records, statement from school |
| Health Insurance |
policy, insurance card, statement from provider of coverage, Medicaid card. |
| Unpaid Rent or Utilities |
Copy of each bill, statement from landlord or utility company |
| Paid or Unpaid Medical Bills |
Copy of each bill |
| Absent Parent |
Death certificate, survivors benefits, divorce papers, Veteran's assistance or military records. (If applying for FOOD STAMPS only, proof of this is not needed |
| Disabled/Incapacitated/Pregnant |
Statement from medical professional, proof of Social Security Disability or Supplemental Security Income (SSI) benefits |
| Other Expenses/Dependant Care Expenses |
Cancelled checks or receipts, statement from child care provider, court order, statement from aid or attendant |
