Page 26 - Mississippi
P. 26

Proof of Eligibility:
                                                                                      Guidelines and Examples









































               *Both sides must be uploaded




               Income Based Eligibility Documents


               2020 Federal 135% Poverty Guidelines for Mississippi

                  Household           Income
                  Members             Guidelines
                   1 member                $17,226
                   2 members               $23,274
                  3 members                $29,322
                  4 members                $35,370
                  5 members                $41,418
                  6 members                $47,466
                  7 members                $53,514
                  8 members                $59,562
                  Add’l members             $6,048




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               Proprietary and Confidential                                                       3/25/2020
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