EXAMPLES OF PROOF

You do NOT have to bring in all the items listed. They are examples only. You only need to have those that apply to you. DHS may be able to help you get some of them. Statements from other people may be acceptable proof. Please ask your worker.

IDENTITY (ID):

• Any picture ID, such as driver's license, work or school ID; or
• Voter registration card
• Wage stubs

SOCIAL SECURITY NUMBER (SSN):
(For those who apply for benefits)

• Social Security Card
• Proof of application at the hospital (newborns)
•Any document containing your SSN

CITIZEN/ALIEN STATUS
• Any INS document giving alien status

INCOME, (EARNED):

• Pay stubs
• Employer's records/statement
• Self-employment bookkeeping records

INCOME, (OTHER):

• SSA or VA award letter
• Benefit payment check
• Court order
• Worker's Comp letter
• Pension award letter
• Divorce/separation decrees or support agreement
• Income-producing contract
• Statement of person making contribution/payment
• Insurance company records
• Tax records
• Financial aid award letter
• Unemployment compensation letter

RESIDENCY:

• Statement of intent to reside in Oregon
• School registration
• Letter from Oregon employer with a job offer
• Utility bills
• Driver's license/OR ID card
• Voter registration card
• Library card
• Rent receipts, mortgage statement, lease agreement
• Mail received at stated address

EXPENSES FOR AGED OR DISABLED PERSONS, (MEDICAL):

• Health Insurance policy showing premium amount
• Billing statements
• Bill for visiting nurse, homemaker, home health aide, etc.
• Itemized receipts
• Bill/receipt for prescribed equipment, medical supplies, etc.
• Statement from pharmacy
• Medicare card indicating Part B coverage

EXPENSES (SUPPORT PAID):

• Court or administrative order (to prove legally obligated)
• Evidence of withholding from wages or unemployment
• Canceled checks
• Statement from custodial parent for payment of support
• State or county payment records