Zero Income Affidavit - Missouri Department of Health & Senior ... - health mo 2026

1. Click ‘Get Form’ to open the Zero Income Affidavit in the editor.
2. Begin by entering your Household ID # at the top of the form. This is essential for identification purposes.
3. In the designated field, write your name where it states 'I hereby swear that I, _, have a gross income of $0.00.' Ensure this is accurate as it confirms your zero income status.
4. Review the statement regarding your food and housing support. Confirm that you have no income and that your needs are met in-kind.
5. Sign and date the form in the provided signature fields. If applicable, ensure that a parent or legal guardian also signs.
6. Once completed, save your document. You can easily export or share it directly from our platform for free.

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