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Detailed list of documents required for PMC Financial Assistance

• Proof of Income for all members in the household.
• If eligible for Social Security, provide the newest benefit letter from the Social Security Administration.
• Bank statement- complete including checking amount, savings account and certificates of deposit.
• Proof of Monthly expenses by providing current bills:

Mortgage and or Rent
Electric
Gas
Water
Sewage
Telephone (landline and/or mobile)
Garbage
Vehicle Payment
Auto and Home Owners Insurance
Medical and Life insurance premiums

Pikeville Medical Center