Proof of Income
must require any
one of the following
for each source
of income

Ryan White HIV/AIDS Program

2377 N. Stemmons Fwy, Suite 200, Dallas, TX 75207
Telephone: 214-819-1849 | Email:

Proof of Income must require anyone of the following for each source of income:

  • Award letter (including but not limited to: SSI, RSDI, VA and Pension) granting benefits for the current calendar year
  • Payroll check stubs to verify last thirty (30) days of income
  • Most recent bank statement that shows deposit and source within last thirty (30) days; this may include electronic bank statements obtained online from the banking institution
  • “No Income Certification” form signed by the client within thirty (30) days of intake
  • Financial support within the last thirty (30) days including cash payment and assistance from family must be documented with the benefactor, verbally or in writing