Please upload one of the following proof of eligibility:
There is a 250MB limit on each attachment.
1.Children’s Health Insurance Program (CHIP)
2.Childcare Subsidies through the Child Care and Development Fund (CCDF) Program
3.Medicaid
4.Temporary Assistance for Needy Families (TANF)
5.Supplemental Nutrition Assistance Program (SNAP)
6.Free and Reduced-Price Lunch (NSLP) and/or School Breakfast (SBP) programs
7.Medicare Part D Low-income Subsidies
8.Supplemental Security Income (SSI)
9.Head Start and/or Early Head Start
10.Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
11.Section 8 Vouchers
12.Low-income Home Energy Assistance Program (LIHEAP)
13.Pell Grants
14.Southern California Edison’s California Alternate Rates for Energy (CARE) of Family Electric Rate Assistance (FERA) program