Get California Vision Project

This guide provides step-by-step instructions on filling out the California Vision Project application online. We aim to support low-income individuals and families seeking free eye care services by making the application process clear and accessible.

Follow the steps to complete the application successfully.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred digital form editor.
2. Carefully read the eligibility requirements to confirm that you qualify. Ensure that at least two years have passed since your last eye exam, and note that applicants cannot have insurance covering eye exams.
3. Complete the home address section, ensuring that you print legibly. Fill in your address, city, state, zip code, and daytime telephone number.
4. Provide the date of application. Answer all questions below this section accurately to avoid delays in processing your application.
5. Indicate whether anyone in your household is currently employed and provide the approximate gross annual income before taxes and deductions.
6. Fill in the total number of people living in your household and specify how far you are willing to travel for your appointment.
7. List any cities you would be willing to travel to for your appointment and specify how you heard about the California Vision Project.
8. Select your preferred language by checking the appropriate box.
9. List all household members applying for a free eye exam. For each member, provide their name, date of birth, month and year of their last eye exam, and indicate whether they have any insurance covering eye exams.
10. Review your completed application for accuracy. Prepare to submit the form along with a $10.00 non-refundable administrative fee, payable in cash or money order.

Complete your California Vision Project application online today to take the first step toward free eye care services.