Completed physical form DOH-3122 (Must be completed by a physician)
Complete mental health evaluation form DOH-5075, if you have a mental health diagnosis (including anxiety / depression – Must be completed by a physician)
Negative PPD Test or Chest X-Ray dated within 1 year of your application date
Last 6 months of bank statements
It’s helpful to have:
Award letters for income sources (Social Security, Veterans’ Benefits, Pensions, Workers’ Comp, etc.)
Proof of previous vaccinations
Photo ID & Social Security Card / Birth Cert.
Copies of any insurance cards (Medicare, Medicaid, Etc.)
Copies of Advance Directives (Health Care Proxy, Power of Attorney, MOLST)
Copies of Life Insurance Policy (if applicable)
Copies of Marriage / Death / Divorce Certificates (if applicable)
Vehicle Registration & Insurance (if applicable)
Verification documents for any cash / investment assets
Completed physical form DOH-3122 (Must be completed by a physician)
Complete mental health evaluation form DOH-5075, if you have a mental health diagnosis (including anxiety / depression – Must be completed by a physician)
Negative PPD Test or Chest X-Ray dated within 1 year of your application date
Last 6 months of bank statements
It’s helpful to have:
Award letters for income sources (Social Security, Veterans’ Benefits, Pensions, Workers’ Comp, etc.)
Proof of previous vaccinations
Photo ID & Social Security Card / Birth Cert.
Copies of any insurance cards (Medicare, Medicaid, Etc.)
Copies of Advance Directives (Health Care Proxy, Power of Attorney, MOLST)
Copies of Life Insurance Policy (if applicable)
Copies of Marriage / Death / Divorce Certificates (if applicable)
Vehicle Registration & Insurance (if applicable)
Verification documents for any cash / investment assets
