If you do not currently have an income, you can use this affidavit as a verification document to prove your income status. Once you complete your application through Maryland Health Connection, you will receive a verification notice in the mail requesting verification of income.
In response to this request, you may either complete this affidavit and upload it to your online account or send it with the cover letter from the notice to the following address:
Maryland Health Connection
P.O. Box 2160
Manchester, CT 06045