Proof of Identity and Lawful Presence is required for every applicant age 18 or older for all programs.

-OR-

Proof of Citizenship, Lawful Presence, and Residency Status

Proof of Homelessness
(only if Applying for the Z Rate in CICP)

Valid Colorado Driver's License

Driver's License of government-issued photo ID from any state in the U.S.

U.S. Military ID Card or Military Dependents ID

Native American Tribal Document

Certificate of Naturalization (DHS forms N-550 or N-570)

Military Dependent's ID Card, if it has a photo

Credit Card with Photo ID

Employment Photo ID Card with Employer Information

Photo from Denver Recreation Center

Foreign consulate photo ID card

Birth certificate for minor child

For children under 18: Affidavit of ID acceptable if no other ID is available

Required for all family members:

• Social Security Numbers
• Naturalization Certificates 
• Legal Permanent Resident Cards
• Employment Authorization Cards
• I-94 Cards

Pay stubs from previous/current month of work. Should have at least one month of consecutive pay stubs.

-OR-

If no pay stubs are available, then bring a typed letter from your employer on company letterhead showing gross income for previous and current month, how long you have been employed there, actual hours worked per week, pay per hour and pay frequency. (You may also use our employment letter to provide income information.)

If you have unearned income, you must know the monthly amount. (To apply for Medicare Savings Programs, you must bring your Social Security Notice of Award showing your monthly income amount.)

If the applicant or his/her spouse owns or leases a residence in Denver County, the applicant must present one of the following:

• Current month and prior month rent receipt, which must include the applicant’s name, the location of the rental property, and the printed name and  phone number of the landlord;
• Copy of current lease with landlord name and phone number;
• Current month mortgage statement;
• Current property tax receipt;
• One household bill (i.e. water, gas & electricity), pay check stub, or other income check stub with applicant’s pre-printed name and Denver County address from both the current month and the prior month;
• Non-household bills (i.e. credit card or cellular phone bills), bank statements, correspondence from a government agency, printed withthe applicant’s name and address, or hospital/physician bills will be accepted only if there is evidence that they were mailed to the address, not printed from an electronic source. Current month and prior month required.
• A Denver Health Denver County Residency Affidavit completed and signed by the friend or relative, and notarized within the past 14 days, stating that the client lives with him/her AND any of the documents listed above for the person with whom the client isliving, to document that he/she lives in Denver County. Visit the Forms and Resources page to download the form and access a list of notaries near Denver Health.

• An original letter from a homeless shelter, Colorado Coalition for the Homeless Outreach Worker, or other Social Services agency, signed within the past 14 days, indicating that the person signing the letter has knowledge that the client is homeless; 
• An original letter from a Denver Health Social Worker who has knowledge that the client is homeless; 
• Mail received at 2323 Curtis St. from the current and prior months; 
• A Denver County Residency Affidavit completed and signed by a friend or relative, and notarized within the past 14 days, stating that the client either uses his/her address as amailing address or to stay occasionally, or that the client lives with him/her but does not pay any of the household expenses AND any of the documents listed above for the person who signed the Affidavit, to document that he/she lives in Denver County. Visit the Forms and Resources page to download the form and access a list of notaries near Denver Health.

Documentation of the value of your assets, i.e. bank statements, Motor Vehicle registrations, and real estate records.

Denver Health cards for CICP, DFAP/Sliding Fee Scale, if any

Bills or receipts for health care costs incurred in the last year that have not been covered by insurance or a health program. These may be used as deductions.