Requirements to qualify

Example: Maryland State Driver’s License or Identification If the client does not have a Maryland Driver’s License or " Maryland Identification, a photo identification and proof of Montgomery County residency is required.Example: Maryland Driver’s License or ID is preferred, but, a passport with a phone bill or letter from a government agency, etc. is acceptable.

» Medicaid

» Medicare

» Independence Card

» WIC

» Letter stating client is in the Maryland Energy AssistanceProgram or HOC

» Letter from a Social or Health Worker

» Letter from Clergy on their letterhead giving you name, address, and telephone number.

» Pay

» stub

» Income Tax  form last year showing income

Print and fill out this application below and bring it in person to C-4 during operating hours or fax it is 301-599-2109