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Recertification for HCV

Please read and complete the forms below before your annual recertification appointment. If you need help, contact your caseworker before your appointment date.

All adult household members 18 years and older must attend appointment Unless they are working or attending school. If the adult child/children are not working or not in school and do not attend, you will be rescheduled. 

If you are the head of the household and a Disabled or Handicapped Person, you may return your packet by mail with your documentations.

You must bring all documentation for your household income (2 consecutive pay stubs, SS/SSI, unemployment, child support-printout showing at least 3 months, etc), Contribution (statement from family member/friend of how much is given and how often with their name, address and phone number, Assets (checking account, savings account, life insurance), School Verification (for students 18 years & older), Childcare and Medical Expenses to your appointment.

*** Due to limited seating space, we are requesting that you do not bring children (17 years and under) with you to your appointment. 

To complete the full application process, the following links must be printed out and completed prior to your appointment: