Qualify by income and provide one of the following as proof.

• Prior Year’s State, Federal or Tribal Tax Return
• Unemployment/Workers' Compensation Benefits Statement
• Divorce Decree or Child Support Documents
• Veterans Administration Benefits Statement
• Current Income Statement from Employer or Paycheck Stubs
• Retirement/Pension Benefits Statement
• Social Security Benefits Statement

Bureau of Indian Affairs General Assistance (BIA)

BIA Award letter, should contain the following basic information:

• Name of the program,
• Name of the beneficiary
• Address of the beneficiary
• Date of the award

Tribal Head Start

Head Start Award letter, should contain the following basic information:

• Name of the program,
• Name of the beneficiary
• Address of the beneficiary
• Date of the award

Tribally-Administered Temporary Assistance to Needy Families (TANF)

TANF Award letter, should contain the following basic information:

• Name of the program,
• Name of the beneficiary
• Address of the beneficiary
• Date of the award

Food Distribution Program on Indian Reservations (FDPIR)

Notice of Action (award letter) acknowledging eligibility for FDPIR benefits;

• Name of the beneficiary;
• The beginning and ending dates of the award or certification period; and
• The telephone number of the Food Distribution Program office, and the name and address of the person to contact for additional information.

OR

FDPIR participation documents(e.g., a benefit card or copy of a benefit card);

• Name of the beneficiary
• The beginning and ending dates of the award or certification period; and
• The telephone number of the Food Distribution Program office, and the name and address of the person to contact for additional information.

Lifeline Program

Due to sharing many of the same eligibility requirements those currently enrolled in the lifeline program may qualify for The Affordable Connectivity Program (ACP) also.

Medi-Cal / Medicaid

Program Approval Letter, Benefit Statement, or Verification of Coverage Letter, should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary,
• Address of the beneficiary, and
• Date of the award

OR

Eligibility Screenshot or printout from an online portal or website tool, should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary
• Medical Identification number, OR
• Case number,
• Eligibility dates, OR
• Current participation status

CalFresh / Food Stamps / SNAP

Program Approval Letter, Benefit Statement, or Verification of Coverage Letter, should contain the following basic information:

• Name of the program,
• Name of the beneficiary,
• Eligibility dates, OR
• Current participation status

OR

Eligibility Screenshot or printout from an online portal or website tool, should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary,
• Case number,
• Eligibility dates, OR
• Current participation status

Federal Veterans Affairs (VA) Veterans Pension and Survivors Benefit

Pension Grant Letter should contain the following basic information:

• Participant’s name
• Address
• A decision about the participant’s monthly entitlement amount
• Payment start date

Federal Public Housing Assistance (FPHA)

FPHA award letter should contain the following basic information:

• Name of the program,
• Date of the award,
• Name of the beneficiary, and
• Award amount.

Supplemental Security Income (SSI)

Approval Letter or Benefit Statement issued by the SSA or on SSA letterhead.

• Consumer’s name
• Date
• Eligibility Date
• Claim number OR Other consumer identification number
• Payment amount

Medicaid / Medi-Cal

Program Approval Letter, Benefit Statement, or Verification of Coverage Letter should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary,
• Address of the beneficiary, and
• Date of the award

OR

Eligibility Screenshot or printout from an online portal or website tool should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary
• Medical Identification number, OR
• Case number,
• Eligibility dates, OR
• Current participation status

SNAP / Food Stamps / CalFresh

Program Approval Letter, Benefit Statement, or Verification of Coverage Letter should contain the following basic information:

• Name of the program,
• Name of the beneficiary,
• Eligibility dates, OR
• Current participation status

OR

Eligibility Screenshot or printout from an online portal or website tool should contain the following basic information:

• Name of the program or state equivalent,
• Name of the beneficiary,
• Case number,
• Eligibility dates, OR
• Current participation status