>Personal Health >Eligibility >Required Documents

Required Documentation for Verification of Income

OCHD Income Eligibility Determination (PDF 18kb)

Please bring proof of income for ALL family members in the household. Income includes:

• Social Security (SSA) check
• Child Support
• Alimony
• Employment - ALL JOBS (salary, wages, fees, tips, bonuses, overtime, pay and commission)
• Foster Child and Shelter Child Payments
• Interest or Dividends(from savings, investments, trusts, estates, bonds, stock sales etc.)
• Living off Savings
• Lump Sum Payments
• Military Leave and Earnings Statement (LES)
• Rental Income
• Retirement (pension, annuity, or retirement amount)
• Self-Employment
• Public Assistance (welfare, food stamps, job training assistance: Not used for WIC Eligibility)
• Student Grant or Loan
• Unemployment or Worker's Compensation
• Veterans Pension
• Regular Cash Contributions