Required Documents for Economic Assistance Programs

A household is defined as anyone living under your roof.

  • Photo ID (Driver’s license or State ID)
  • Social Security Cards for all household members
  • Proof of disability if disabled
  • Proof of U.S. citizenship for all household members(U.S. birth certificate/ hospital birth record, U.S. passport, U.S. voter registration card, OWF award letter, U.S. military record, or other government documents that specify U.S. citizenship
  • Most recent utility bills (gas and electric)
  • Landlord’s name, address & phone number (a lease is required for all new services)
  • Proof of income for the past 30 days from ALL sources for ALL household members that are 18 years of age and older including, but not limited to: weekly/bi-weekly paystubs, social security/SSDI, VA or disability benefits, pensions, unemployment, TANF, utility allowance, & Self-employment requires previous year officially filed tax return.
  • Seasonal Employment must provide proof of income for the last 12 months from the date of application.
  • If anyone has been helping your household within the past 30 days, you MUST bring a letter signed and dated by those individuals stating what they have specifically done. It must include their address and phone number.
  • All Household members claiming zero income must be present and complete a self-declaration form.
  • All zero income HOUSEHOLDS must provide an IRS tax transcript or verification of non-filing.

This can be done by:

  • Phone: 1-800- 908-9949 if a tax return was filed OR
  • Fax- a 4506-T form if no return was filed to 1-859- 669-3592
  • Online Transcript Request
  • In writing:
  • IRS Return and Income Verification Services
  • (RAIVS) Team
  • P.O. Box 145500
  • Stop 2800F
  • Cincinnati, Oh 45250
  • Visiting a local IRS Office
    • Akron Office- 2 S. Main St., Akron, OH 44308
    • Canton Office- 301 McKinley Ave. SW., Canton, OH 44702
    • Mansfield Office- 180 N. Diamond St., Mansfield, OH 44902

The forms below can be accessed and may be required to process your application.

Self-Declaration Form
Seasonal Employment Verification Form
Employment Verification Form
Self-Employment Income and Expense Form

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