Application Checklist

Prepare Your Documents

Documents New Hampshire may ask for. You may not need every item. Tap to mark as ready.

0 of 16 ready

Social Security number for each member applying (or proof of application for one)
Identification (e.g., driver's license, work or school ID, ID from another social services program, voter ID, birth certificate)
Marriage certificate or divorce decree
School schedule (current term) for anyone 16 or older
Health insurance cards (Medicaid cards not needed)
Doctor's form if blind, disabled or temporarily incapacitated; doctor's letter with due date if pregnant
Vehicle registration or title and amount owed
Current statements for bank, credit union, retirement, investment accounts; total cash on hand
Life insurance policy, face value and cash value
Real estate

deed, mortgage, property tax bill, homeowner's insurance declaration page
Earned income

four consecutive weeks of current pay stubs or BFA Form 756; self-employed: profit/loss worksheet, Schedule C or tax return; terminated job: employer letter with last day worked, reason and gross wages
Unearned income

proof of all sources incl. child support/alimony (with legal documents)
Rent

receipt, lease, BFA Form 775 or shared shelter statement (BFA Form 768)
Utilities

heat, cooling, electric, phone or internet bills, or Fuel Assistance award letter
Child care

receipts, provider letter or BFA Form 476
Medical expenses for anyone 60 or older or disabled

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