Financial Assistance NameHead of Household First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail Date of Birth MM slash DD slash YYYY If you are under 21, are you a legal dependent of your parents? Yes NoList all family members living in your household that are financially dependent upon you or that share household expenses and their monthly income.*NameAgeRelationshipPay ScheduleMonthly Gross Household Income Failure to provide proof of income for all household members can delay processing.Required Documentation*Max. file size: 256 MB.Please provide one of the following: (attach as a PDF) Federal Income Tax Form and one month CURRENT pay stub Current unemployment stub Current Social Security Retirement Statement Current Supplemental Security Income (SSI) GAU/GAX General Assistance Statement Sign up for JFFA news & updates!Join our mailing list and be the first to find out about upcoming concerts, Festival news & lineup, and community events. nameEmail