LIFE Program Application

Follow the steps to create a new LIFE application.

1
2
3
4

Determine your Eligibility

Applicants must be 18 years or older. Children must be enrolled on an adult head of household application.

Individuals who receive transportation discounts from the city/county schools or employers, or are Access or U-Pass cardholders, are not eligible to participate in the LIFE Program.

Select the size and income bracket that best describes your household.

Submit Annual Household Income

There are two ways to submit your annual household income: Self-Certification or Documented Income. Choose one.*

Self-Certification (Select if income documentation is unavailable)

  By checking this box, I confirm that the income level I selected above is correct. I understand that in the future, I may be asked to provide proof of income. I agree that if I do not provide proof of income, my benefits may be terminated in the LIFE Program.

   or   

Documented Income

  I will provide one income document to verify my annual income. I will upload it (in Step 3) as a digital file.

Verify your Identity

Provide a valid photo ID for you and for each household applicant. These may include:

  • Photo ID
  • Passport
  • Resident
  • Student ID