YOU MUST PROVIDE COPIES OF EACH ITEM ON THE CHECKLIST BELOW & BRING TO YOUR APPOINTMENT.
BIRTH CERTIFICATES AND SOCIAL SECURITY CARDS for all new members of the household (related or
not). If the birth certificates are not in English, please have them translated and notarized. All adults must provide
current photo identification. If any member’s name has changed, provide documentation.
FOODSTAMPS & TANF. Bring letter, no older than 30 days, from the Department of Human Services showing the
amount of benefits you receive.
BENEFITS. Bring current verification if any household member receives any benefits from Social security, Veterans,
retirement, unemployment, workman’s comp, etc. Any benefit received must be verified. Call 1-800-772-1213 to request
a printout of your monthly SS and SSI benefits.
EMPLOYMENT. Provide your last 4 paycheck stubs and your employer’s name address, and phone number.
ASSETS. If any member of the household has a checking or savings account, please bring a current statement with you.
Or if you own stocks, CD’s, or bonds, bring current statements showing the balances of the assets.
CHILD SUPPORT. Provide your CIN number or a current verification from the Attorney General’s office showing the
amount of support received monthly if any.
CHILD CARE EXPENSES. Provide last 4 receipts of payment, and your childcare providers name, address, and
LEASE. Provide a copy of your current or renewed lease.
UTILITY BILLS. Provide a copy of your recent electric, gas, and water bills.
PROVIDE A COPY OF YOUR FILED TAX RETURN FOR CURRENT TAX YEAR. This includes your W2’s,
1040, EIC, Schedule A and any other forms for deduction claimed.
MEDICAL EXPENSES. (FOR ELDERLY AND DISABLED FAMILIES ONLY)
Provide receipts for the medical/dental expenses that you have already paid for the past 12 months.
EACH MEMBER OF THE HOUSEHOLD AGE 18 AND OLDER THAT IS NOT IN SCHOOL OR WORKING, MUST
ATTEND THIS APPOINTMENT. YOU MUST PROVIDE PROOF OF STUDENT STATUS; THAT INCLUDES SCHOOL
NAME AND ADDRESS. (Report card or college transcript)
IF YOU NEED SPECIAL ACCOMODATIONS DUE TO YOUR/FAMILY MEMBER’S DISABILITY SUCH AS A HOME
VISIT, LIVE IN AIDE, ADDITIONAL/SEPARATE BEDROOM YOU MUST COMPLETE A REQUEST FOR SPECIAL
ACCOMMODATION FORM & PROVIDE A DOCTOR’S STATEMENT
GHA PARTICIPANTS ARE ONLY ALLOWED TO MOVE AT ANNUAL RECERTIFICATION
1. Provide the case manager with a copy of your move out notice at your appointment. Your notice must have your
landlord’s signature or proof that it was sent certified mail. Please check your lease expiration date to ensure that you are
not breaking the lease. Make sure the notice states the specific date you will vacate the unit, date of notice, unit address,
and your signature.
2. Inform the inspector that you will be moving, so he can check for damages. If it has already passed inspection and you’ve
completed step 1, you will receive your voucher estimates and voucher at your appointment. Otherwise your will need to
call the case manager to schedule another appointment, to get your relocation paperwork.
3. DO NOT SIGN ANY NEW LEASES, MAKE DEPOSITS, OR PICK UP ANY KEYS TO FOR A NEW UNIT, UNTIL
YOU HAVE DISCUSSED THIS MATTER WITH YOUR CASE MANAGER
You cannot be given voucher estimates over the phone. The estimates must be calculated; an appointment is necessary.
COMPLETE THE ENCLOSED APPLICATION AND BRING WITH YOU TO YOUR APPOINTMENT
(SOILED/STAINED DOCUMENTS WILL NOT BE ACCEPTED)