How to Submit Documents

In some cases, Washington Healthplanfinder needs additional information about your household so you can enroll in coverage. This is called being “conditionally eligible” and it happens when the systems that check your application can’t confirm some of your information.

If you’re conditionally eligible and don’t submit documents before the deadline, you and others in your household could lose your health insurance or the amount of financial help you’re getting could change.

Accepted Documents

Use the sections below to find the most common types of accepted documents for each category. There are also forms to download when you can’t submit the recommended documents. See a full list of accepted documents.

 

Proof of Income or Deductions

You’ll need to provide proof of income for each household member on your application.

Some example documents that prove income include:

• Payroll statements for the last 60 days
• The first 2 pages your most recent tax return
• Self-employment Profit and Loss document for the past 3 months
• Receipts showing recent payment of reported deductions

Exception to Verification for Income
You can also use this form to explain your household income or deductions.

• English
• អក្សរខ្មែរ – Cambodian (Khmer)
• 中文 – Chinese (simplified)
• 한국어 – Korean
• ພາສາລາວ – Lao
• Pусский – Russian
• Af-soomaali – Somali
• Español – Spanish
• Tiếng Việt – Vietnamese

 

Proof of Lawful Presence

Some example documents that prove lawful presence include:

• Permanent Resident Card (Form I-551)
• Refugee Travel Document (Form I-571)
• Valid foreign passport with I-94 stamp of admission
• Visa with I-94 stamp of admission

Proof of Citizenship

Some example documents that prove your citizenship include:

• U.S. Passport or U.S. Passport card
• Enhanced Driver’s license or Enhanced State ID (must say “enhanced”)
• Certificate of Naturalization
• Official U.S. county birth certificate

 

Proof of No Other Coverage

This includes coverage through the Veteran’s Administration, TRICARE, and the Peace Corps.

Some example documents that prove you don’t have other coverage include:

• Copy of insurance policy showing enrollment end date
• Termination letter from insurance company
• Declaration of Ineligibility for Other Health Insurance Coverage form (below)

Declaration of Ineligibility for Other Health Insurance Coverage
You can also use this form to attest that you or a household member isn’t eligible for other coverage.

• English
• អក្សរខ្មែរ – Cambodian (Khmer)
• 中文 – Chinese (simplified)
• 한국어 – Korean
• ພາສາລາວ – Lao
• Pусский – Russian
• Af-soomaali – Somali
• Español – Spanish
• Tiếng Việt – Vietnamese

Proof of Non-Incarceration

Use this form to attest that you or a household member isn’t incarcerated in a city, county, state, or federal jail or prison.

• English
• អក្សរខ្មែរ – Cambodian (Khmer)
• 中文 – Chinese (simplified)
• 한국어 – Korean
• ພາສາລາວ – Lao
• Pусский – Russian
• Af-soomaali – Somali
• Español – Spanish
• Tiếng Việt – Vietnamese

Proof of Social Security Number

Some example documents that prove your Social Security number include:

• Social Security card
• IRS, military, or payroll documents showing complete SSN
• Proof of a pending Social Security Application

 

Proof of Tribal Membership

Submit any official document issued by a federally recognized tribe that shows that you’re a member of that tribe, such as:

• Tribal Membership or Enrollment Card
• Certificate of Indian Blood (must state that you’re a member or enrolled in the tribe)

Tribal Statement of Good Faith Effort
You can also use this form to explain why you’re unable to prove your membership in a federally recognized tribe or Alaska Native Corporation.

• English