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IF THESE FORM(S) ARE NECESSARY, THEY MUST BE COMPLETELY FILLED OUT, SIGNED, DATED, AND UPLOADED TO THE SCHOOLMINT APPLICATION.

Statement of No Income (This form must be completed by any adult household members who are claiming zero income of any kind.  Examples include:  Unemployed, Stay at-home parent or guardian, Retired without a pension, or Student)

Statement of No Income (Spanish)


Declaration of Income for Irregular Employment (This form must be completed by any adult household members who are employed intermittently, self-employed, or who, for whatever reason, check stubs, or applicable Department of Children and Family Services printouts to verify their income. A copy of the 1099 IRS form should be uploaded to the application for all self-employed adults.  Examples include: those adults who have seasonal employment and/or receive cash payments.

Declaration of Income for Irregular Employment (Spanish)


Attestation Letter for Other Adults Living in the Household (This must be completed by the adult(s) who provide housing for the child and his/her guardian(s) but do not financially support them otherwise. 

Attestation Letter for Other Adults Living in the Household (Spanish)  

© 2016 by Livingston Parish Early Childhood Community Network. 

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