You will need to provide an approval notification document from one of the qualifying government assistance programs to be approved for this program. Verification documents can be submitted with this application using the browse option below.
Completing the form on a smart phone to take or upload pictures of your documents directly on the application.
Additional Documents can also be emailed to firstname.lastname@example.org
To qualify for financial assistance, you must provide one of the following:
1. Currently receiving SNAP – SNAP Card/Documentation of Benefits
2. WIC – WIC Card/Documentation of Benefits
3. Medicaid – Medicaid Card/Documentation of Benefits
4. Medicare – Medicare Card/Documentation of Benefits
5. Section 8 – Documentation of Benefits
6. Section 20 – Documentation of Benefits
7. SSI – Documentation of Benefits