• Birth certificate (if born in VA you can get a birth certificate at a full-service DMV)
• Proof of total household income from all sources (not needed if foster family). Please send COPIES of the following documents:
  • W-2s or tax return for the previous year or
  • Pay check stubs for the last month or 
  • Letter from your employer with income information or
  • SNAP authorization letter
• If the following income applies we also need verification:
  • SSDI (award letter)
  • SSI (award letter)
  • Child Support (award letter or copy of checks)
  • Veteran’s Benefits
  • Social Security
  • Unemployment
  • Worker’s Comp
  • Cash assistance (TANF) (DSS award letter)
• If you have NO income we must have a letter of support from the person(s) supporting your family or a zero-income statement, which we can send to you upon request.
• If you are homeless (had to move in with friends/family), you need to complete a living situation survey, which we can send to you upon request.

Upon receipt of all required information, you will be notified of your child’s status in the program. This could take up to 30 days and unfortunately sometimes longer. Submitting an application does not mean that the child is enrolled.

If your child is chosen for the program, required documentation includes:

• a signed up-to-date immunization record
• current physical (within the last year)
• dental exam (within the last six months).

If your address or telephone number changes while waiting to hear from us, please call us with the changes.