Application Process
APPLICATION PROCESS
FEES
Public Assistance and Medicaid clients receive services at no charge. Non Public Assistance clients are charged a non-refundable $25.00 application fee. You may be eligible for a reduced fee of $10.00 if your income falls below poverty level guidelines. Screening for a reduced fee may be done at your request. If you already have an open case with our office, you will not be charged a fee to open an additional case.
PROCEDURE
Once you receive your application, please answer all the questions. If you do not know the answer to a question, or it is not applicable to your case, please indicate so. Leaving blank spaces may delay processing of your application.
Please provide the following with your application:
- A copy of Birth Certificate(s) for your child(ren)
- The Affidavit(s) of Parentage for the child(ren), if signed by the father
- A copy of Social Security card(s) for you and your child(ren)
- A copy of any child support, custody order or separation agreement
- Verification of your income (copies of pay stubs for the last four pay periods)
- Proof of day care and health insurance costs that you pay
- Any information you have about the non-custodial parent, including address, employer, social security number, date of birth, pay stubs, tax returns, photos