How Do I Apply?
How Do I Apply?
Individuals who meet the criteria may apply by completing and submitting the Program Application form and Release of Information to the Part C Program. Income verification is required for this program.
Acceptable means of income verification are:
- W-2 Form
- 1040 Form
- 1040A Form
- Paycheck Stubs
- Medicare/Disability Payment Stubs
It is the responsibility of the applicant to provide information pertinent to the Part C Program. All information is confidential. It is also the responsibility of the applicant to notify the program manager of any changes in address, phone number, and income status.
