Every applicant should complete the application as fully as possible.
To process your application, our team needs the names and dates of birth for all household members (people living in your home) and your signature. We will also need proof of all income received by you, minor children and other adults who contribute to household expenses.
― If you have a disability, please provide a completed Med-9 for the Colorado Aid to the Needy Disabled (AND) program, or a Third-Party Query Procedure (TPQY) form or Benefits Planning Query (BPQY) form from Social Security, and stating the date the disability began.
― If you are a renter, copies of your rent receipts for the entire previous year (for this application period, all of your rent receipts from 2019). If you don't have your rent receipts, you can have your property landlord/owner complete the landlord section of the application, or they can provide a letter with the same information
― If your spouse/partner passed away in 2019 or 2020, a copy of the death certificate
― If this is your first time applying for the program, a copy of a valid ID for the applicant