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04/19/2024Click to Sign
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Attach Documents

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Proof of Identity (REQUIRED) - Copy of valid Washington State Driver’s license, Passport, Permanent Resident Card or State Identification Card, showing picture, address and date of birth. Click Here to Upload
Utility Rebate Residency Verification Form (REQUIRED) Click Here to Upload
Tax Return (Required for those who file taxes) - All pages of return are required along with copies of source of income Click Here to Upload
Form W-2, Wages Click Here to Upload
Form SSA-1099, Social Security Retirement Benefit (SSA) Statement Click Here to Upload
Social Security Insurance (SSI) Benefits Letter Click Here to Upload
Form #1099 for Pension, IRA, Dividends, Interest, Minimum Retirement Distribution (MRD) Click Here to Upload
DSHS Benefits Letter for food, cash, and/or medical (All pages) Click Here to Upload
(State of Washington) Unemployment Compensation Payments Statement Click Here to Upload
Child Support or Alimony Statement Click Here to Upload
Veterans Administration Benefit Award Letter Click Here to Upload
Labor & Industry (L & I) Payment Statement Click Here to Upload
Any other sources(s) of income Click Here to Upload
Comcast Bill (Required if applying for Comcast rebate) Click Here to Upload