Eligibility Checklist
1) PHOTO identification
You need only ONE of the following:
Driver’s License
State ID
Passport
Current employment ID
2) Proof that you live or work in Walworth County
You need only ONE of the following:
Utility bill
Bank statement
Piece of mail with your name and address on it
Document verifying your place of employment with the workplace address on it
3) Income verification
You need ALL of the following that apply:
Payroll check stubs from the last 30 days for you and/or your spouse
If self employed, Schedule C Tax Form
Unemployment verification
Child support verification
Rental assistance verification
Social Security verification
Verification of any other income
4) Additional Requirements
Medical Assistance wait-list or denial letter
If you filed taxes for 2011, you need either form 1040 or 1040EZ