Carla Martinez
The following is the subsidy application for
Carla Martinez
. Click to approve, deny or request more information.
Proof of income
Share
September Paystub.docx
2024 W2 Document.pdf
Enrollment details
Desired start date
01/30/2025
Schedule
Monday-Thursday
7:00 am - 3:30 pm
7:00 am - 3:30 pm
Documentation
Documentation of incapacitation
Dr.Ayers_Incapacitation.docx
Proof of birth of child
Childs_BirthCertificate.jpg
Photo identification of child
Childs_ID.pdf
Child information
Child name
Childs name
Gender
Female
Birthday
09/01/2022
Medical conditions
Asthma
Address
918 Waterfall Lane
City
Portland
State
OR
Zip Code
94109
Parent information
Parent name
Alex Kim
Email
AlexK@gmail.com
Phone
292-192-2929
