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Dependent Eligibility & Verification Documents

Dependent Eligibility & Verification Documents

For the 2025/26 Open Enrollment period, the current year for IRS forms is 2024.

All confidential information can & should be redacted.

 

An icon of a document with a seal, representing official paperwork or certification.

For those married less than 12 months:

Official marriage certificate issued from the county office with the state seal visible at the bottom
An icon of two tax documents with a checkmark, indicating completion or approval.

 

For those married more than 12 months:

Page 1 of the current year’s IRS 1040 tax form with a filing status of either Married Filing Joint OR Married Filing Separate

Click Here for an Example of the 2024 IRS 1040 Tax Form

 

All confidential information can & should be redacted.

 

A red icon of a document with a pencil, representing writing or editing.

For those in a RDP for less than 12 months:

Official Declaration of Domestic Partnership certified with the California State Seal on the back
An icon of two tax documents with a checkmark, indicating completion or approval.

 

For those in a RDP for more than 12 months:

Page 1 of the current year’s IRS 540 CA Resident Income Tax form with a filing status of either Married Filing Joint OR Married Filing Separate

Click Here for an Example of the 2024 IRS 540 CA Resident Income Tax Form

 

A red outline of a monkey face with a plus sign, three lines, and two footprints.

For newborns:

A birth verification letter provided by the hospital
An icon of a document with a seal, representing official paperwork or certification.

For children/stepchildren:

An official birth certificate issued from the county office with the state seal visible at the bottom
A red icon of a document with a pencil, representing writing or editing.

For fostered/adopted children:

A court order signed by a judge confirming the foster/adoption

 

  • All confidential information can & should be redacted.

     

    An icon of a document with a seal, representing official paperwork or certification.

    For those married less than 12 months:

    Official marriage certificate issued from the county office with the state seal visible at the bottom
    An icon of two tax documents with a checkmark, indicating completion or approval.

     

    For those married more than 12 months:

    Page 1 of the current year’s IRS 1040 tax form with a filing status of either Married Filing Joint OR Married Filing Separate

    Click Here for an Example of the 2024 IRS 1040 Tax Form

     

  • All confidential information can & should be redacted.

     

    A red icon of a document with a pencil, representing writing or editing.

    For those in a RDP for less than 12 months:

    Official Declaration of Domestic Partnership certified with the California State Seal on the back
    An icon of two tax documents with a checkmark, indicating completion or approval.

     

    For those in a RDP for more than 12 months:

    Page 1 of the current year’s IRS 540 CA Resident Income Tax form with a filing status of either Married Filing Joint OR Married Filing Separate

    Click Here for an Example of the 2024 IRS 540 CA Resident Income Tax Form

     

  • A red outline of a monkey face with a plus sign, three lines, and two footprints.

    For newborns:

    A birth verification letter provided by the hospital
    An icon of a document with a seal, representing official paperwork or certification.

    For children/stepchildren:

    An official birth certificate issued from the county office with the state seal visible at the bottom
    A red icon of a document with a pencil, representing writing or editing.

    For fostered/adopted children:

    A court order signed by a judge confirming the foster/adoption