Confidential Financial Statement / Application (for full Financial Assistance)
Recent pay stub(s) meeting 22CCR 96051.7(b) time periods OR income tax returns
Documentation of essential living expenses (optional/verification)
Optional: Medi-Cal/CMSP or other government program denial or approval (not required)
Optional: proof of participation in a public benefit program (Social Security, Workers' Comp, Unemployment, Medi-Cal, County Indigent Health, cash assistance, Food Stamps, WIC)