1.  proof of income

The following documents are acceptable proof of income: payroll check stub, W-2 form, income tax form, or proof of Food Stamps eligibility

 

2.  proof of residency (E-911 address)

The following documents are acceptable proof of residency (all documents must be in the parent's name and include the address): property tax records; mortgage document or property deed; apartment or house rent/lease agreement; current utility bill; automobile registration

NOTE: Cable bills and phone bills are NOT acceptable proof of residency.

 

3.  child’s certified birth certificate or officially acceptable evidence of date of birth

 

 

If a child is accepted into the program, the following documents must be provided:

 

1. Proof of Physical Examination (within 1 calendar year)

 

2. Proof of Immunization on a Tennessee Certificate of Immunization Form from the Health Department or a physician's office

 

3.  proof of income

The following documents are acceptable proof of income: payroll check stub, W-2 form, income tax form, or proof of Food Stamps eligibility