To complete the application you will need to upload, in PDF or JPEG format, copies of the required supporting documents.
You can scan documents using an app or take a picture with a cell phone.
All documentation MUST be legible.
1. Picture Identification
2. Proof of you live in Ingham County (at least one of following)
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Valid Michigan driver’s license or ID card
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Other ID which provides a name and address
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Recent mortgage, lease, or rent receipt
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W2 or 1040 tax form
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Ingham County voter’s registration card
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Recent utility or home services bill with name and address printed on it
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Recent paycheck or other income documentation with name and address printed on stub
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A letter dated within the last 30 days stating applicant resides at address list on application
3. Proof of income must be recent (within the past 30 days) for ALL wage earners in household (at least one of following for ALL wage earners)
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Paycheck stubs within the last 30 days
(2 biweekly or 4 weekly)
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Medicaid denial letter or other verification on income from DHHS
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Other statement of income from employer
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Unemployment statement
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Social Security benefit statement
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Account interest statement or other statement of unearned income
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Most recent tax form(s) for applicants who are self employed
4. Immigration Documents, if applicable (visa, green card, permanent residency card)
5. Medicaid status documents, if applicable
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Medicaid application completed within last 6 months
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Pending, Denial or appeal letter from Medicaid