1. | Read this whole page. |
2. | Click the green "Register for Appointment" button below and fill in your household details. |
3. | Select where you will be seen in the "Choose an Office" dropdown menu, followed by clicking the field below "Appointment Date" to choose an available calendar day and appointment time. |
4. | Click the green "Submit" button and then be certain to WRITE DOWN your appointment date, time, and address from the confirmation page. |
If you are unable to make an appointment online, be aware that PHONE APPOINTMENTS MAY STILL BE AVAILABLE. PLEASE CALL US AT THE OFFICE NUMBER LISTED BELOW.
Es posible que las citas telefonicas todavia estan disponibles. Por favor, llamenos al numero de oficina que aparece a continuacion.
* = Required Field
What source(s) of income has/have been received in the household?
This would include everyone in the household, including those 17 and under. Check all that applies below.
If your entire household has received no income or monies of any kind for the months of September 2024, October 2024, or November 2024, then check the box below.Otherwise enter all income received for these months in the table below.
Type Of Income | September 2024 | October 2024 | November 2024 |
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Earned income (gross) | |||
TANF | |||
GAUGAX | |||
SSA | |||
SSI | |||
SSD | |||
Unemployment (not taxed at the time received) |
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Unemployment (taxed at the time received) |
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Child support (received) | |||
Child support (paid out) | |||
Pensions/retirement (taxed at the time rec'd) |
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Pensions/retirement (not taxed at the time rec'd) |
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Military | |||
Self-employment | |||
Other |