Vital Documents Checklist

Urban Alchemy — Get every client their core documents
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✓ All fields complete!

Every field has something in it. Ready to print or save.

Why this matters: Without ID, a person can't get housing, benefits, a job, or medical care. These documents unlock everything else. Start here.

① State ID / Driver's License

Do they have it?

ID number (if known):
What state was it from?

To get / replace — go to the DMV:

Notes / appointment date / receipt #:

② Social Security Card

Do they have it?

To get / replace — FREE through SSA:

Notes / confirmation #:

③ Birth Certificate

Do they have it?

What state / county were they born in?
Mother's maiden name (needed to order):

To order — through that state's Vital Records office:

Notes / order confirmation #:

④ Proof of Citizenship / Immigration Status (if not a US citizen)

Document type and number:
Notes:

⑤ Health Insurance (OHP / Medicaid)

Do they have it?

To enroll:

CCO name / member ID:

⑥ SNAP / Food Benefits (EBT Card)

Do they have it?

To apply / replace:

Notes / case #:

✓ Documents Summary

What's still missing? Next steps:
Copies stored where? (HMIS, client file, etc.):