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Eligible Support Documentation for certification or recertification requests.
If you have been advised, you are required to provide income or program support along with your certification or recertification form you may provide one of the following items to support your eligibility:

If you qualify through a government program, please provide:

          •A copy of a letter from a government agency showing eligibility for the qualified benefit

          •A copy of a Medicaid card for the eligible individual

          •Federal Public Housing rental agreement

          •Documentation of tribe affiliation/participation

Note: A Lone Star Card is not an eligible document

                     ***OR***

If you qualify through income, please provide:

          •Copy of most recent pay stub(s) from all employers covering the last two months for all members of the           household dated within the last 90 days.

          •Your most recently filed tax return (must be signed) or W-2 form.

          •A signed letter from each employer indicating the level of your wage dated within the last 90 days.

          •Documentation of social security income dated within the last year.

          •Copy of an unemployment form with eligibility dates and dated within the last 90 days.

          •Copies of the two most recent unemployment checks dated within the last 90 days.

          •Copy of the most recent bank statement showing direct deposit of income (for SSI, Social Security, annuity,           pension) dated within the last year.

Please note that there are additional documents that can be provided along with an application not listed above that qualify for the state discount, but they are not acceptable as certification or recertification support. For further clarification please contact our call center at 866-454-8387.