Emergency Online Request
*Pending resource funding availability, the request will be answered as soon as possible once we receive all items needed to make a decision*
FUNDING IS NOT GUARANTEED. WE URGE YOU TO SEEK ADDITIONAL COMMUNITY SUPPORT AS WELL. 
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Type of Assistance *Check One*
Upload State ID or License
How many children do you have?
Upload Proof of Head of Household (taxes, School enrollment, Insurance)
Utility Bill or Cut-off Statement

Thanks for submitting!

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