Home
Family Planning
Family Planning
       Benefit
       Program      
Metcalf Plaza
       Rentals

 

Bring this information to your appointment:

*If you are under 21 and are unsure about getting any of the following documents, please contact our facilitated enroller, Beth at (315) 253-8477 Ext. 211

1. Identity (proof of who you are)
    Bring ONE: Driver's license or permit
                      Birth certificate
                      Official School Report/School ID
                      Passport
2. Residency (Your name and physical address- NOT a P.O. Box).
    Bring ONE, dated recently: Utility bill (gas, electric, phone).
                                                Postmarked envelope or   
                                                magazine label.                  
                                                Lease or receipt from landlord.
3. Social Security
    Social Security card or Social Security number.

4. Citizenship or Alien Status
    Bring ONE:  U.S. Birth certificate
                        Passport
                        Naturalization Certificate
                        INS Form (Green Card)

If you have received any income in the most recent month, you must show proof of income. Bring all that apply.

Wages & Salary:  PAY STUBS ( 4 most recent stubs if you are paid weekly, or your 2 most recent pay stubs if paid biweekly).  OR

Letter from your employer- Must be on company letterhead, include your name, average number of hours that you work, your hourly wage, OR weekly gross average- must be signed and dated by your employer.

Child Support
: Letter from person providing support or child support check or court stubs.

Unemployment Benefits
: Award letter or check stubs.

Military Pay
: Award letter or check stubs.

Workers Compensation
: Award letter or check stubs.

Support from Others
: Signed letter from family member or friend.

Health Insurance:
Insurance card & pay stub or insurance bill

Child Care
: Note from day care center or childcare receipts.
 

 

 

Serving Cayuga, Ontario, Seneca
and Wayne Counties
FAMILY PLANNING BENEFIT PROGRAM INFORMATION