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- all listed below along with the income guidelines and a list of "what to bring" to the interview.
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Early Childhood Programs
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Income Guidelines
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What to Bring
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Head Start & Early Head Start
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*2004 HHS Poverty Guidelines
* See chart below
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Income verification, such as pay stub, W-2, Public Assistance or Temporary Assistance for Needy Families (TANF) budget sheet or unemployment book.
Child's birth date verification, such as a birth certificate or Medicaid card.
Child's most recent physical exam within the past 12 months or a written statement from the health care provider that the child is receiving well-child care.
Child's immunization record. Your child must either be fully immunized, or have specific appointment dates to become fully immunized.
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Housing Program
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Income Guidelines
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What to Bring
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Emergency Housing
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*2004 HHS Poverty Guidelines
* See chart below
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Picture ID, Social Security card or ID for all family members, Letter head referral from shelter or referring agency, proof of income (budget sheet, SSI, or SSD award letter, pay stub), eviction notice, shut off notice or documentation from utility company, Section 8, if applicable
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Facilities Programs
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Income Guidelines
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What to Bring
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Low Income Home Repair
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*200% above the 2004 HHS Poverty Guidelines
Double the amount of income indicated. * See chart below
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Proof of ownership of property
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Building Renovation Repairs
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None
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Proof of ownership of property
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Lead Connection
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None
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Proof of ownership of property
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Senior Food Program
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Income Guidelines
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What to Bring
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Meals on Wheels
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*2004 HHS Poverty Guidelines
* see chart below
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No documentation needed. Referrals are accepted from , friends, relatives, neighbors and ministers
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Employment
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Income Guidelines
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What to bring
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Employment & Training
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Must be on Temporary Assistance for Needy Families (TANF)
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Picture I.D.
Social Security card for all persons in household
Proof of household income
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Drug Abuse Program
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Income Guidelines
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What to bring
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DART
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Sliding Fee Scale for those who do not have insurance
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Proof of residency (utility bill with proper mailing address)
Medicaid card
Confirmation of income
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2004 HHS Poverty Guidelines
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Size of
Family Unit
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48 Contiguous
States and D.C.
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Alaska
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Hawaii
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1
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$ 9,310
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$11,630
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$10,700
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2
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12,490
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15,610
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14,360
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3
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15,670
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19,590
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18,020
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4
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18,850
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23,570
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21,680
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5
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22,030
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27,550
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25,340
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6
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25,210
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31,530
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29,000
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7
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28,390
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35,510
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32,660
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8
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31,570
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39,490
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36,320
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For each additional
person, add
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$ 3,180
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$3,980
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$3,660
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SOURCE: Federal Register, Vol. 69, No. 30, February 13, 2004, pp. 7336-7338.
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