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current gas, electric, water, or cable bill in one of the household adults names
Valid ID or passport for all adults in the household (consulate ID or any other government-issued ID)
Valid ID or passport for all minors in the household (Birth certificate, Medi-Cal card, school photo ID card or valid passport for all children in the household)
Example: $135.00 SSI + $811.00 Disability = $946.00 Total
Please chose all that apply
(Information used for reporting only)
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