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The checklist specifies acceptable legal, school/medical, and government records, plus notarized affidavits when primary documents are unavailable. It also details acceptable income proofs, upload and privacy rules, and required photo angles. Dental clearance from a licensed dentist is required before treatment.",{"@graph":63,"@context":123},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/required-documents-checklist-2026-orthodontic-grant-application/277931/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/required-documents-checklist-2026-orthodontic-grant-application/277931.png","ImageObject",442,249,{"name":88,"@type":89},"Graffin","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-15",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115,119],{"name":106,"@type":107,"acceptedAnswer":108},"What documents prove single parent status for separated applicants?","Question",{"text":109,"@type":110},"Applicants must provide legal/court documentation, school or medical records, or government/benefit records. If these are unavailable, a notarized affidavit declaring separation, separate residence, and primary caregiving is accepted.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What proof is required to demonstrate financial need?",{"text":114,"@type":110},"Applicants submit one primary proof of income (such as a full prior-year federal tax return, W-2, pay stubs, employer letter, 1099, or unemployment statement) and two supporting proofs (such as SSI/SSDI, SNAP, housing vouchers, bank statements, utility assistance, Medicaid approval, or benefit/caseworker letters). If unavailable, a notarized affidavit of income sources can be completed.",{"name":116,"@type":107,"acceptedAnswer":117},"What photos must be submitted for grant review and how should they be taken?",{"text":118,"@type":110},"Submit six clear, well-lit photos without flash, preferably in natural light: front view smiling, front view biting, right side and left side views, upper arch, and lower arch. Ensure images are not blurry, use good lighting, and use tips like spoons for cheek retraction when needed.",{"name":120,"@type":107,"acceptedAnswer":121},"Why is dental clearance required?",{"text":122,"@type":110},"A licensed dentist must complete the dental clearance form confirming the child’s oral health is healthy and stable enough to begin orthodontic treatment.","https://schema.org",{"og:url":78,"og:type":125,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":127,"canonical":78},"index,follow",{"doc_id":129,"site_id":56},277931,1789505464,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":88,"user_avatar":134,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":140,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":61,"update_tm":130,"read_time":73},3573418547284,"https://eur-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Required Documents Checklist  \n Proof of Single Parent Status for Separated Applicants (see policy on page 2)  \n Proof of Income (see policy on page 3)  \n Orthodontic Consultation Documentation (if applicable) : If the child has seen an orthodontist but is not currently wearing braces  \n Child Essay: HANDWRITTEN essay stating their goals, how braces would dramatically change their life, and how they would pay the blessing of braces forward in the future  \n Letter of Recommendation: A letter from a trusted adult who is not a family member, including their name, contact info, duration of knowing the child, reasons for consideration, impact of braces, and how the child will pay it forward.  \n Photos (guidelines on page 4) : These are necessary for evaluation by our orthodontic and dental advisors during the selection process  \n Dental Clearance (form on page 5): Must be completed by a licensed dentist confirming that the child’s oral health is healthy and stable enough to begin orthodontic treatment.  \nRequired Documents Checklist  \nProof of Single Parent Status  \nPolicy: Proof of Single Parent Status for Separated Applicants  \nTo qualify as a single parent under the Eternal Smiles Foundation grant program, an applicant who is separated (but not yet legally divorced) must demonstrate that they are the sole or primary caregiver and are financially responsible for the child.  \nWe require one of the following:  \n1. Legal or Court Documentation  \no Separation agreement showing custody or parenting time  \no Temporary or permanent custody order  \no Child support order naming the applicant as the recipient  \n2. School or Medical Records  \no Current school or daycare enrollment listing only the applicant as parent/guardian  \no Medical or insurance records naming the applicant as the sole primary contact  \n3. Government or Benefit Records  \no Most recent tax return filed as Head of Household  \no SNAP, Medicaid, or other benefits listing only the applicant for the child  \nOR  \nIf the above documents are not available:  \n4. Affidavit: A notarized affidavit declaring that the applicant is separated, resides apart from the other parent, and is the child’s primary caregiver (page 2 of this document)  \nNote: Applicants who share equal custody and financial responsibility do NOT meet the definition of single parent for grant purposes. Eternal Smiles Foundation reserves the right to request additional documentation if needed.  \nRequired Documents Checklist  \nProof of Income  \nPolicy: Proof of Income  \nTo qualify for an Eternal Smiles Foundation (ESF) orthodontic grant, applicants must demonstrate financial need. When a federal tax return or W-2 is not available, ESF requires alternate documentation verifying income or assistance sources and proof of guardianship of the child.  \nApplicants must provide:  \n1. ONE primary proof of income (choose ANY):  \n• PREFERRED: Federal tax return for the prior calendar year: full return, not the transcript, showing the child listed as a dependent, including their full legal name  \n• W-2 for prior calendar year  \n• Two recent pay stubs  \n• Employer letter  \n• 1099 or simple income summary  \n• Unemployment statement  \nOR (if none of the above)  \n2. TWO supporting proofs of income or financial need, showing the child as a dependent (choose ANY 2):  \n• SSI/SSDI award letter  \n• SNAP award letter  \n• Housing voucher award/tenant responsibility letter  \n• Bank statements (1–3 months)  \n• Utility assistance letter  \n• Medicaid approval (shows low income)  \n• Child support/alimony proof (court order or deposits)  \n• Church/community assistance letter  \n• Caseworker letter  \n• Any benefit approval document  \nOR  \nIf the above documents are not available:  \n3. Affidavit: If the above documents are unavailable, the applicant may complete a notarizedaffidavit of income stating all current sources of financial support, including cash, informal work, or assistance received from family or community programs. (page 2 of this document)  \nNote:  ","cbCaivF2avM72vxN","https://ap.wps.com/l/cbCaivF2avM72vxN","pdf",3065318,"English","# Required Documents Checklist\n## Proof of Single Parent Status for Separated Applicants\n## Proof of Income\n## Photo Guidelines\n## Dental Clearance","[{\"question\":\"What documents prove single parent status for separated applicants?\",\"answer\":\"Applicants must provide legal/court documentation, school or medical records, or government/benefit records. If these are unavailable, a notarized affidavit declaring separation, separate residence, and primary caregiving is accepted.\"},{\"question\":\"What proof is required to demonstrate financial need?\",\"answer\":\"Applicants submit one primary proof of income (such as a full prior-year federal tax return, W-2, pay stubs, employer letter, 1099, or unemployment statement) and two supporting proofs (such as SSI/SSDI, SNAP, housing vouchers, bank statements, utility assistance, Medicaid approval, or benefit/caseworker letters). If unavailable, a notarized affidavit of income sources can be completed.\"},{\"question\":\"What photos must be submitted for grant review and how should they be taken?\",\"answer\":\"Submit six clear, well-lit photos without flash, preferably in natural light: front view smiling, front view biting, right side and left side views, upper arch, and lower arch. Ensure images are not blurry, use good lighting, and use tips like spoons for cheek retraction when needed.\"},{\"question\":\"Why is dental clearance required?\",\"answer\":\"A licensed dentist must complete the dental clearance form confirming the child’s oral health is healthy and stable enough to begin orthodontic treatment.\"}]","Required Documents Checklist 2026 - Orthodontic Grant Application | PDF"]