BenefitsCheckUp®

Your Benefits are Waiting!

Here is what we will need for a successful screening and to complete your application:

Don't be intimidated by this list of documents.

Contact us at "Get Help Here" and we will explain the process to you first.

Proof of Residency - Includes, but not limited to:

• Evidence of home ownership
• Lease or other evidence of rental
• Driver's license or vehicle registration
• Voter registration card
• Utility bills
• Receipt or cancelled check from rent or mortgage payment
• Employment record
• Signed statement from the landlord
• Collateral contact (unless homeless)

Proof of Identity - Includes, but not limited to:

• Driver's license
• State-issued non-driver's license ID
• Social Security card
• Voter registration card
• Employee identification card
• ID issued by the Public Housing Authority
• Previously issued benefits card

Proof of Citizenship - Includes, but not limited to:

• INS Form I-94 with codes and date stamps
• Employment Authorization Card (INS Form I-688B)
• Employment Authorization Document (INS Form I-766)
• Refugee Travel Document (INS Form I-571)
• Alien Registration Receipt Card (INS Form I-551)
• Unexpired Temporary I-551 stamp in foreign passport or on INS Form I-94
• Tribal Document or membership card (for Native Americans)
• DD Form 214 or current Military ID card (for Veteran status)

Proof of Income - Includes, but not limited to:

• Letter from employer stating (a) salary or pay; or (b) wages and hours worked
• Employment Income - pay stubs showing gross amounts (before taxes and deductions)
• for at least 30 days
• Self-employment - business receipts, accounting or other business records
• Workers Compensation - copy of the benefit check or stub
• Unemployment Compensation - UCB check stubs (30 days if applicable) or award letter
• Insurance (Health and Life) - policy documents, insurance cards
• SSDI or SSI Payments - award letter
• Retirement Income
• Social Security (OASDI) payment - award letter
• Child Support or Alimony Income - court documents
• CFSA Stipend or Federal Foster Care Payment - award letter or check stub
• Other Income such as Rental or Room and Board Income (written statement from roomer or boarder, accounting records, lease or contract, or rent receipt book) or
• Property Related Income

Proof of Assets - Includes, but not limited to:

• Checking, Savings (or Credit Union Draft/Share) Accounts - monthly statement
• Savings Certificates, Certificates of Deposit (CDs), or Bonds - certificate or bond
• Stocks or Bonds - certificates
• Cash on hand
• Personal Property - the values for items like campers/trailers, non-motorized boats, utility trailers not used for business
• Pension plans or retirement accounts - the value minus any withdrawal penalties
• Life insurance - the cash surrender value, not the amount that would be received because of the death of the insured person
• Vehicle (second or more) - Blue book or NADA book wholesale (trade-in) value or loan statement/payment book
• Other Assets

To see if you qualify for assistance, contact us in 1 of 3 ways:

1. Submit the form under "Get Help Here" on this website
2. Send an email to at bec@thewholeperson.org
3. Call us at 816-561-0304

Download a PDF of the Benefits Checklist Paperwork