How to Apply for One of Our Programs:Application Complete the attached application. If you need any help, please call us at 610-437-6000.Date of Birth Provide a copy of your child’s birth certificate or other document identifying your child’s date of birth.Income Provide documents to verify your household income for the past 12 months. This may include:Pay stubs or unemployment checkW2 formsTax Form 1040A written statement from an employerTANF statementIf you are unable to send documentation of your income, please send a signed letter describing your circumstance.Mail or Fax Application and above documents:1520 Hanover Avenue, Allentown, PA 18109Fax: 610-437-6500 ATTN: Enrollment Department
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