To verify your eligibility, you will need to provide proof of your income. The following list summarizes acceptable income documentation when verifying eligibility.


  • Pay stubs representative of the last four (4) weeks of income
  • Earnings Statement
  • Employment Letter
  • Book Keeping Records
  • Property Unit Proof
  • Owner Occupied Proof
  • Monthly Rental Income Proof
  • Mortgage Breakdown Proof
  • Income Tax Returns
  • Reports from Social Security Veteran’s Administration and other agencies
  • When the applicant is unable to obtain the information requested Departmental forms (Wage Report, AP-50; Bank Clearance, AP-91; Clearance with VA, AP-150 and AP-151) are used.

HealthSource RI connects you with health and dental insurance from these companies:

Individuals & Families: 1-855-840-4774
Employers & Employees: 1-855-683-6757