The Collateral page requires contact information for two individuals who reside outside of the household who can verify the persons that live in your home. Some items have an asterisk (*) next to them, indicating they are mandatory. You must fill in these items before you can continue to the next page.
For individuals indicated as collaterals on this page, type the first name and last name in the text boxes. Be sure to use the full, legal name. Do not use nicknames on this application. The First Name text box allows a maximum of 12 characters, and the Last Name text box allows a maximum of 19 characters. If the name does not fit in the boxes, type as much as you can.
Address Line 1 and Address Line 2 fields should only contain letters, numbers and ‘-‘, ‘#’, and ‘/’. City should only contain letters. Zip Code should contain only numbers.
Click the Print button to print this page for your reference.
If you are applying for SNAP, FITAP, and or KCSP you may click the Complete button to navigate to the end of the application where you can review the rights and responsibilities, sign, and submit the application. Please note that if you are applying for Child Support Enforcement services all required fields must be completed before you can submit your application.
Click the Next button to save and continue with the online application.
Click the Previous button to view the previous page.
Click the Save & Exit button to exit the online application and save your progress on your application. The application is saved as Incomplete.