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If you don't find what you are looking for, please check back on Wednesday 11/23/16, call toll free at 1-888-900-3554 to leave a message, or
email melanie@smileschangelives.org

Additional Tax Information For Children Applying For Our Orthodontic Program

Qualification for our program requires a total household income at or below our financial guidelines as listed at www.smileschangelives.org/financial.  Please note: It is YOUR responsibility to determine if you meet these financial qualifications before applying. Your application will be denied and your fee will NOT be refunded if your income does not qualify. [Foster parents or agencies that are applying for a child do not need to submit proof of income. Learn more]

You MUST submit a copy of the most recent year’s Federal Tax Form 1040, 1040A or Supplemental Security Income award letter as proof of income (note: we do not accept Social Security benefits letters as proof of income). If you do not file Form 1040 or 1040A or receive Supplement Security Income benefits, your application will NOT be approved. We DO NOT accept any other type of proof of income. Tax forms/SSI awards letters that are altered in any way, including removing/blacking out Social Security numbers, will NOT be accepted. If you are submitting applications for more than one child, you MUST include a copy of your tax form/SSI awards letter with EACH application.

If submitting Form 1040/1040A, please note:

  • The child applying for treatment MUST be listed as a dependent on either page 1 of Form 1040/1040A or on Statement 1 along with the child’s Social Security number.
  • If the child is NOT claimed as a dependent on your tax return, you must explain why and ALSO submit the tax return for the person who DOES claim the child, as well as proof of where the child resides (e.g. school records). In this situation, both tax returns must meet our income qualifications.
  • Page 1 of Form 1040/1040A (line 43 on 1040 and line 27 on 1040A) must show taxable income at or below our financial guidelines listed .
  • If your income does not require you to file taxes, but you are legally allowed to file, you must do so in order to apply for our program, even if your income is $0.

*** Additional documentation for non-parental guardians:

  • Non-parental guardians must also submit a copy of their authorization to make medical decisions.
  • For children in state custody, copies of the child’s state medical card and medical consent must also be submitted.
Changing Lives… One Smile At A Time...
  • "Our son would have gone without braces if it wasn't for SCL! Thankful for this program and staff that care. We are currently in treatment. It is already making a difference. "

    - Alice W.

    5 star review
  • "Amazing program that has truly changed my life. Once I was accepted it was such an easy process. Thank you so much!! I would recommend any one with low income and bad teeth to go through the process."

    - Alexandria W.

    5 star review
  • "Just had our last appointment. Being a school teacher I didn't make a lot of money. This program allowed me to give my daughter a smile that she shares with everyone. Thanks."

    - Tiffany L.

    5 star review
  • "I just had not one but two daughters finish having their braces on through Smiles Change Lives and we are so happy with the results. Thank you for providing this service!"

    - Daya G.

    5 star review
  • "This is an incredible organization with Orthodontists donating their skills to change children's lives. More people in need should know about this fantastic program"

    - Judith W.

    5 star review
  • "My son has finally been accepted, approved, and assigned an orthodontist. He goes tomorrow for his first appointment to start getting his braces. Thanks SCL, you have made my son very happy."

    - Alan P.

    5 star review
  • "I am so thankful for smiles change lives for helping a struggling mother out. What an amazing program that helps families."

    - Joy S.

    5 star review
  • "I cannot say enough GREAT things about this program! They have given both of my daughters a new outlook on life, & self confidence that I could never teach."

    - Shelly P.

    5 star review



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