Social Services NV GEBE Pilot Program information: – LAUNCH date December 1, 2025

Please complete the entire form and bring along ALL the following documents when applying.

REQUIRED SUPPORTING DOCUMENTS

Please attach copies of the following documents (REQUIRED):

☐ Valid Government-issued Photo ID (Passport or National ID Card)

□ Immigration / residence permit ( if applicable)

□ Detailed registration form

☐ Proof of Address (recent utility bill, lease agreement, or official mail)

☐ Recent NV GEBE Utility Bill(s) – Last 3 months

☐ Proof of Income:

• If employed: Recent pay slips (last 3 months) OR employment letter
• If self-employed: Business registration and recent financial records
• If unemployed: Termination letter OR proof of job loss
• If receiving benefits: Award letter or benefit statement

☐ Proof of Other Household Income (if applicable)

☐ Medical documentation (if claiming medical hardship)

☐ Any other supporting documentation relevant to your application:

Note: Applications without required documentation will not be processed.

PLEASE DOWNLOAD the 3 PDF Files

1. NV GEBE Social Services – Pilot Program Application form  
2. GEBE & Social Services Pilot Program – Policy Procedural Manual
3. FAQ Sheet: — Frequently Asked Questions (FAQ)