Supporting Documents
To show your household income is at or less than the amount listed for your state and household size:
| Household Size | 48 Contiguous States, D.C., and Territories | Alaska | Hawaii |
|---|---|---|---|
| 1 person | $21,546 | $26,933 | $24,786 |
| 2 people | $29,214 | $36,518 | $33,602 |
| 3 people | $36,882 | $46,103 | $42,417 |
| 4 people | $44,550 | $55,688 | $51,233 |
| For each additional person, add: | $7,668 | $9,585 | $8,816 |
135% of the 2026 Federal Poverty Guidelines
Provide a document that includes:
- Your name, or your dependent’s name
- Your annual income
- An issue date within the last 12 months
Here are common examples:
- Your prior year’s state, federal, or Tribal tax return.
- Current annual income statement from your job.
- A Social Security statement of benefits.
- An unemployment or worker’s compensation statement of benefits.
- A Federal or Tribal notice letter of participation in General Assistance.
- A Divorce Decree or child support award.
- An official document with a date in the last 12 months that shows your
annual income, or official documents showing your income for three months
in a row. This could be pay stubs that have dates within the last 12 months.
To show you or your dependent participate in a program below:
- Medicaid
- Supplemental Nutrition Assistance Program (SNAP)
- Supplemental Security Income (SSI)
- Federal Public Housing Assistance (FPHA)
- Veterans Pension or Survivors Benefit
Provide a document that includes:
- Your name, or your dependent’s name
- The name of the program, such as SNAP
- The name of the government, Tribal entity, or program administrator that issued the document
- An issue date within the last 12 months or expiration date in the future
Here are common examples:
- A benefit award letter
- A statement of benefits
- A benefit verification letter
- A screenshot of online benefits portal
If you live on qualifying Tribal lands and need to show you or your dependent participate in a program below:
- Bureau of Indian Affairs General Assistance
- Tribal Temporary Assistance for Needy Families (TANF)
- Food Distribution Program on Indian Reservations (FDPIR)
- Head Start (only those households meeting its income qualifying standard)
Provide a document that includes:
- Your name, or your child or dependent’s name
- The name of the program, such as FDPIR
- The name of the government, Tribal entity, or program administrator that issued the document
- An issue date within the last 12 months or expiration date in the future
Here are common examples:
- A benefit award letter
- A statement of benefits
- A benefit verification letter
- A screenshot of online benefits portal
If you need to show your date of birth:
Provide a document that includes:
- Your first and last name
- Your date of birth
Here are common examples:
- A Driver’s license that is not expired
- A U.S. birth certificate
- A U.S. passport that is not expired
- A U.S. government, military, state, or Tribal issued ID that is not expired
- A Certificate of Naturalization or Certificate of U.S. Citizenship
If you need to show your Social Security Number (SSN):
Provide a document that includes:
- Your first and last name
- The last four digits of your SSN
Here are common examples:
- A Social Security Card
- A Social Security Benefit Statement (SSA-1099)
- A W-2 from the last 2 years
- A prior year’s state, federal, or Tribal tax return
If you need to show your Tribal Identification Number (Tribal ID):
Provide a document that includes:
- Your first and last name
- Your Tribal ID number
Here are common examples:
- A Tribal ID card
- An official certificate or letter from your tribe’s enrollment office
- A Certificate of Degree of Indian Blood (CDIB)
If you need to show that you are alive:
Provide a document that includes:
- Your first and last name
- An issue date within the last three months
Here are common examples:
- A current utility bill
- A paystub
- A mortgage or lease statement
- A retirement/pension statement of benefits
- A notarized letter that confirms your identity and that you are alive
If you need to show that you are an emancipated minor:
Provide a document that includes:
- Your first and last name
- An issue date within the last three months
Here are common examples:
- Court document
- Certificate of emancipation
If you need to show your address:
Use the mapping tool in the online application OR
Provide a document that includes:
- Your first and last name
- Your address
Here are common examples:
- A map that shows your physical address or location, including latitude and longitude coordinates (coordinates are required if you live on Tribal lands)
- A utility bill (excluding your internet company)
- A mortgage or lease statement
- Most recent W-2 or tax return
If you need to show your household:
If you live with another adult who participates in the Lifeline program, you will need to answer a few questions to find out if your household qualifies for more than one benefit.
- If completing by online application: Complete the blank, fillable worksheet that will guide you through the steps.
- If completing by mail: Complete the Lifeline Household Worksheet and mail it to the Lifeline Support Center.


