2024 CAO Holiday Toy Assistance Program

"As a requirement of the WNY Holiday Partnership, I understand that this application will be cross-checked with other toy giveaway programs. If I or my children are found to have duplicate applications, my CAO of WNY application will be voided, and I will not be eligible to receive toys through this program."*

YES

1. PHOTO ID FOR HEAD OF HOUSEHOLD

(NY’s Driver’s License, Permit or Non-Driver’s ID, Benefit Card W/ photo) ONLY UPLOAD ONE

2. PHOTO ID FOR ADDITIONAL HOUSEHOLD MEMBERS 18 YEARS AND OLDER.

(NY’s Driver’s License, Permit or Non-Driver’s ID, Benefit Card W/ photo) ONLY UPLOAD ONE

3. PROOF OF ADDRESS

(Lease, Landlord Statement, Bank Statement, Utility Bill)

4. PROOF OF INCOME FOR THE PAST 30 DAYS (ALL ADULT HOUSEHOLD MEMBERS 18 YEARS AND OLDER).

(Pay Stubs, Benefit Statement, TANF/SSI/SSD/Social Security Award Letter, Bank Statement, Unemployment Benefit Statement)

If you do not have a source of income CLICK HERE to complete a NO INCOME FORM. After you complete and sign it, please upload it in place of proof of household income.

5. ID FOR ALL CHILDREN LISTED ON APPLICATION

(Insurance Card, Benefit Card, Birth Certificate)

6. PROOF OF SOCIAL SECURITY NUMBERS FOR EACH HOUSEHOLD MEMBER (ALL ADULTS AND CHILDREN)

(Social Security Cards, Tax Document, Government issued document that displays full SSN)

Name*

First NameLast Name

Street Address*

City/Town*

Zip Code*

Last four of your digital SSN*

Phone Number*

Area CodePhone Number

E-mail

Date of Birth*

Date

Gender*

MaleFemaleNon-BinaryOther

Age*

Education Level*

Disabled*

Health Insurance*

Type of Health Insurance*

Ethnicity*

Hispanic, Latin, Spanish Origin

Race*

Military Status*

VeteranActiveNone

Work Status*

Household Type*

Household Size*

Housing*

Total Monthly Household Income*

2*

First NameLast Name

Last Four Digits of SSN*

Date of Birth*

Date

Age*

GENDER*

MaleFemale

3

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

4

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

5

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

Gender

MaleFemale

6

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

Gender

MaleFemale

7

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

8

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

9

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

10

First NameLast Name

Last Four Digits of SSN

Date of Birth

Date

Age

GENDER

MaleFemale

Photo ID For Head Of Household*

Browse Files

Photo ID For Any Other Adult Household Member

Browse Files

Photo ID For Any Household Member under the age of 18*

Browse Files

(Insurance Card, Benefit Card, Birth Certificate)

Proof of Address*

Browse Files

SOURCE OF MONTHLY INCOME*

Proof of Monthly Income 1*

Browse Files

Proof of Monthly Income 2

Browse Files

Social Security Card For Head Of Household*

Browse Files

Social Security Card For 2*

Browse Files

Social Security Card For 3

Browse Files

Social Security Card For 4

Browse Files

Social Security Card For 5

Browse Files

Social Security Card For 6

Browse Files

Social Security Card For 7

Browse Files

Social Security Card For 8

Browse Files

Social Security Card For 9

Browse Files

Social Security Card For 10

Browse Files

Appointment*

To the best of my knowledge, the information on this application is accurate and truthful.*

YES

Name of person completing application

Signature of person completing application*

2024 CAO Holiday Toy Assistance Program

Income Guidelines

PLEASE LIST ALL OTHER HOUSEHOLD MEMBERS