Required Documents

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All clients are required to submit a valid ID and a recent tax return (if taxes are filed).
Full-Time Students must present a copy of their current course schedule.

Proof of Polk County, FL Residency

In addition to an ID, clients must submit at least one other proof of residency. ALL documents MUST be in the client's name and show the client's current Polk County address.

Valid Driver's License or State ID

Please select the additional proof of residency that you will be providing

Electric bill in client's name
Current Vehicle Registration
Proof of ownership or purchase of homestead property in Polk County
Rent receipt for most recent week/month
Lease agreement showing current address
Recent award letter from state or federal agency
I do not have any documentation of my current residence. Client will sign the Declaration of Domicile form

If client has none of these documents, but lives in Polk County, FL, client may sign the Declaration of Domicile form at time of application (link)

Please upload your additional proof of residency here

Proof of Income

Clients must provide income documentation for ALL adult members of the household who receive /earn income.

Please upload the most recent tax return (if more than two adults)

Please select the additional proof of income that you will be providing

Most recent four consecutive weeks of paystubs for ALL income earners in the household.
If you do not receive paystubs, you may complete and submit a Verification of Earnings form signed by your employer(s)
If self-employed, a Schedule SE is required. If your business is new, expense records are required (bank statements or profit & loss statements)
If receiving Social Security benefits or Unemployment compensation, a current award letter is required.
Client will complete a Certification of Zero Income form

Please note: Supplemental Security Income is not included as income. If there is NO income, a Certification of Zero Income form must be completed and submitted (link)

Please upload your additional proof of income here

Required Documents

Proof of Polk County, FL Residency

Proof of Income

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