top of page
Apply for Sliding Scale Program
SLIDING SCALE FEE PROGRAM
Accepted documents for proof of income:
​
-
Current Federal Income Tax (1040-1040 EZ Form, no W2s)
-
Paystubs for recent month
-
Current bank statement showing direct deposit (SS, SSI, SSD, Child support)
-
Social Security/Disability Letter
-
Unemployment Benefit Letter (no bank statements)
-
Letter of Support
-
Court order for alimony or child support or printout for child support payments
-
Pension Benefit Letter
-
Wages (4 pay stubs if paid weekly, 2 pay stubs if paid bi-weekly)
-
Please note, we require tax documents for individuals who are self-employed.
bottom of page