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Proof of Local Residency
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Your Proof of Address (POA) must be dated within 3 months of your screening and include your Name and current physical address. Examples are a Valid Driver’s license, DMV ID, utility bill, bank statement, annual lease or an official piece of mail. PO Boxes are accepted on a case-by-case basis. Junk mail, credit card solicitations, voter or vehicle registration cards and handwritten letters are not accepted.
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If you are working
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One month of pay stubs or bank statements showing deposits. If you are working for cash we will give you a Verification of Employment form to be filled out by your employer. You can also print the form from the "Patient Forms" page.
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If you file taxes
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Your most recent 1040 or 1040 EZ return. We do not need your W-2. If you are self employed we will also need a copy of your Schedule C.
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Other types of income
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If you receive Social Security, Disability, Veterans Benefits, pensions, SNAP benefits, Unemployment Compensation or child support we need a current statement or a copy of a court order.
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If you have no income
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If you have no personal means of support, we will give you a simple "Letter of Support" form to be filled out by the individual supporting you. You can also print the form from the "Patient Forms" page.
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