Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name, age, and date of birth in the designated fields. Make sure the information is accurate, as it is essential for identification purposes.
3. Provide your sex and social security number. While a social security number is not required for application approval, it may help streamline the process.
4. Fill in your mailing address, including apartment number, if applicable. Include your city, state, and zip code. Additionally, provide your phone and cell phone numbers.
5. Attach proof of residency. This can be done by submitting a document with your name and address that meets the requirements outlined in the form.
6. Indicate your marital status by circling one of the options provided. Specify your needs regarding eye care by selecting the appropriate services you are requesting.
7. Provide information about your last eye exam, any eye diseases, and whether you have diabetes. Include details about any prescription glasses you have worn in the past five years.
8. If you have medical insurance, indicate your coverage and include a copy of your insurance card if available. Be sure to answer questions regarding specific coverages for eye exams and glasses.
9. List the number of people living in your household. If applicable, provide employment and income details for each individual, along with supporting documentation.
10. Complete the household expenses section, detailing each monthly expense. This section is crucial for determining eligibility based on income.
11. Review the application to ensure all fields are completed accurately and required documents are attached to avoid delays in processing.
12. Sign and date the application. Once everything is complete, save your changes, and you may proceed to print or share the application as needed.

Start your application process now by completing the I Care Vision Center application online.