Chesapeake Care Clinic
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PLEASE UPLOAD
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OF THE FOLLOWING DOCUMENTS THAT APPLY TO YOU
Business Taxes for the Most Recent Tax Year
Latest Quarterly Filing
90 Days of Business Bank Statements
Business Profit/Loss Statement for Current Year
60 Days of Most Recent Pay Stubs
Social Security or Supplement Security Income Award Letter
Veteran Benefits Award Letter
Pension or Retirement Award Letter or Statement
Unemployment Award Letter
Verification of Alimony
Verification of Child Support
Workers Compensation Award Letter
SNAP Letter
TANF or Transitional TANF Assistance
Housing Assistance Letter
Owned Rental or Investment Property Documentation
Stocks, Bonds, CDs, 401K Statements
90 Days of Most Recent Bank Statements for each Account Owned
Verification of Support Form
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HOME
OUR CLINIC
About Us
Board of Directors
>
Board Access
Patient Testimonies
Contributors
Videos
DONATE
Give Now
Donations
PATIENTS
New Patients
Services
Veterans Dental Program
Mini-Mission of Mercy
Eligibility Criteria
Online Application
Upload Documents
Online Payment
Privacy Practices
VOLUNTEER
Volunteer Opportunities
Volunteer Application
FUNDRAISERS
Wine Tasting & Raffle
Taste of Chesapeake
Run For the Health of It
NEWS & RESOURCES
Annual Report
Newsletter Sign Up
Newsletter Archive
Facebook
CONTACT US
Contact Us
Hours of Operation
Location