Contents
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Completing the Household Member-Add Person Information (Subsidy)
On this page, complete the following information for the Household Member.
Last*, First* and Middle Names and Suffix
Enter the name of the household member in the appropriate name fields.
Gender*
Select Female or Male by using the radio button next to the field (
).
Date of Birth*
Enter the date of birth using the following format MM/DD/YYYY.
SSN (Social Security Number)*
Enter the Social Security Number for the household member.
Race
Check each of the race categories that apply by clicking in the box next to the value:
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Ethnicity
Select either Hispanic or Non-Hispanic for the selection by using the radio button next to the field ().
Primary Language
Select the value for the primary language by using the down arrow (
) next to the field. The language will be defaulted to English.
American Sign Language
Bosnian
Chinese
English
French
Somalian
Spanish
Vietnamese
Relationship to Applicant*
Select the value for the relationship by using the down arrow () next to the field.
Adopted Child
Adopted Parent
Aunt/Uncle
Biological Parent
Biological Child
Child of
Cousin
Employee of
Employer of
Foster Child
Foster Parent
Grand/Great Grandchild
Grand/Great Grandparent
Legal Guardian
Niece/Nephew
None (Not Related)
Other Person Legally Responsible
Other Related
Parent of
Sibling
Spouse
Stepparent
Ward