Grant Assistance Application

    This application is for households requesting grant assistance. It includes household financial information, current hardship details, and the amount of grant assistance requested. Please complete the application as accurately as possible.

    Note: If you already completed the Household Financial Wellness Survey, you may enter the same information here or provide any updated details.

    Section 1: Applicant Information

    Grant Request Details

    Please provide details about the specific assistance you are requesting.

    $

    Documentation Uploads

    Upload only documents related to your request. Please do not upload Social Security cards, full bank account numbers, or unnecessary sensitive personal information.

    Click to upload or drag and drop

    SVG, PNG, JPG, PDF (max. 10MB)

    • Any Collection Notice(s) (if applicable)
    • Notice of Default (if applicable)
    • Notice of Sale (if applicable)
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