Required Documentation

Required Documentation

All individuals being referred to STAR Council for potential services are required the submit each of the 4 required documents listed below.
Name *

First Name Last Name
What Program are you submitting formation for? *
What location? *
Instructions:
1. Photos of documents are to be taken in well-lit areas so that all information can be seen.
2. Document should fill the whole viewing area.
3. Take photos on a flat surface. DO NOT hold the card in your hand.
BIPP Participants ONLY submit Photo ID below.
1. Photo ID
Upload your Photo ID HERE

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(Driver's License, Passport, or Identification Card are all acceptable.) Cancel of
2. Proof of Income

NOT for BIPP
NOTE: ALL working adults, living in the household, are required to provide proof of income.

It is possible that the State of Texas will cover the all program cost for the individual seeking treatment.

Indivudals who are unemployed are to provide a letter stating that you are unemployeed.

Any of the following are acceptable document for Proof of Income.
1. Paystub
2. Statement (letter) from employer or the person paying your bills.
  1. Letter or Statement must include the following:
    
    Full Name and phone number of individual or Company
    
    Name of individual seeking service
    
    Dollar Amount given for work being done
    
    Date and signature of both individuals
3. Income Tax Return
4. Disability/SS Benefits Page
5. VA Benefits
Bank statements not accepted.
Upload Proof of Income HERE

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3. Proof of Residency

NOT for BIPP
Any one of the following are acceptable document for Proof of Residency:
1. TEXAS Driver's License/ID Card
2. Utility Bill
3. Letter/Statement from employer/Letter from the person paying your bills:
  1. L etter or Statement must include the following:
    
    Full Name and phone number of individual writing the letter
    
    Name of individual seeking service
    
    Residence Address with correponding Utility Bill
    
    Date and signature of both individuals
Upload Proof of Residency HERE

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4. Medicaid and/or Private Insurance Card

Front and Back Required
VA Insurance Card included.
Upload Insurance Card HERE

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OTHER Documents

Example: Prescription list from Pharmacy
Upload Other Requested Documentation HERE

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Should be Empty:

Required Documentation

1. Photo ID

2. Proof of Income

3. Proof of Residency

4. Medicaid and/or Private Insurance Card

OTHER Documents