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