SUBMIT INCOME DOCUMENTATION
Please use the option for BROWSE FILES to attach documentation supporting the monthly income reported above.
Please use the option for TAKE PHOTO to use your device to take a photo of your income documentation and upload it to your application.
You may upload the last 2 paystubs, most recent tax return, or last two benefit statements for income such as Social Security and retirement income as proof of income. If these examples do not apply, please provide the most recent documentation of your income.
If you are unable to submit your income documentation online, please sign and submit the application and contact us at (252) 522-9800 and ask for Patient Access.