How do I enroll in Access DuPage?
1. Check the ‘Do I Qualify’ section to your right to make sure you follow eligibility requirements.
2. Call or visit your local intake agent to schedule an enrollment appointment.
3. Remember to bring the following:
Proof of Income (bring copies of all the documents that apply to your household income situation)*
- Copies of pay check stubs (most recent 60-90 days)
- Social Security Benefit Award Letter and/or pension
- Child support
- General Assistance
- If no income: Proof of income for the person/s helping you financially and a letter of support written by them.
- If self-employed: Recent Federal Tax Returns and 3 months recent bank statements showing income.
- If paid in cash: 3 months bank statements showing the deposits of income. If you file taxes you may also use them with the employer letter.
*While this list represents most of the documents Access DuPage would typically request to document income, in certain circumstances Access DuPage may request alternate information to demonstrate financial means.
Proof of Address (Please provide ONE of the following:)
- Utility bill (must be current and issued within last 30 days)
- Drivers license or state ID (only if issued within the last 30 days)
- Current lease or proof of current mortgage
If you live with someone else and have none of the documents listed above documenting address, please provide the following:
- Provide a letter from the person who you live with indicating that you are residing with him or her.
- Have the person writing the letter provide one of the above proof of address documents in his or her name.
Good Samaritan Act and Release of Information
Every person who is applying for Access DuPage must complete the following form and submit it with their applications. Family members who are applying for Access DuPage but cannot attend the application appointment in person due to work or other obligations may sign this form and have the person who is attending the appointment bring it with them.
- Each applicant will need to sign his or her own copy of a Release of Information form, as well as notification of Good Samaritan Act Immunity Waiver.
- These forms are available on this website and can be printed at your convenience if every member cannot make appointment. Applications received without a completed copy of the two listed forms will not be processed until the forms are received.
Access DuPage makes every effort to respect the privacy of applicants and does not routinely share enrollee specific information with other agencies, except for the purposes of determining eligibility or securing medical treatment.